{"id":"b6352c34-2b09-4176-bc77-67ee5e80b39f","slug":"craniocervical-hypertrophic-pachymeningitis","title":"Craniocervical hypertrophic pachymeningitis","authors":["Murilo dos Santos Mancilha","Filipi Fim Andreão","Bárbara de Ávila Costa Januário","Filipe Virgilio Ribeiro","Matheus Nepomuceno Fernandes","Luis Flavio Fabrini Paleare","Bruno Pasqualino Aguilar da Silva","Marcelo Medeiros Felippe","Danilo Gomes Quadros"],"abstract":"Background: Hypertrophic pachymeningitis (HP) is a rare neurological disorder characterized by dural thickening. Here, we discuss the diagnosis and surgical management of a 38-year-old whose myelopathy was attributed to dorsally compressive HP extending from the lower cerebellar fossa to C3. Case Description: A 38-year-old male with Sjögren’s syndrome presented with cervical pain, upper limb paresis, dysphagia, and left-sided tongue/palate paralysis. The cervical magnetic resonance (MR) showed a dorsally compressive lower cerebellar fossa to C3 lesion. When the biopsy revealed HP, and once conservative treatment failed, the patient successfully underwent a posterior surgical decompression, lesion debulking, and craniocervical fusion. Conclusion: Cervical HPs should be diagnosed early on MR, and those with significant myelopathy, aggressively surgically treated.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/b6352c34-2b09-4176-bc77-67ee5e80b39f/featured/hero-1781558626582.png","publishDate":"2025-05-16T00:00:00.000Z","doi":"10.25259/SNI_179_2025","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/b6352c34-2b09-4176-bc77-67ee5e80b39f/pdf"}