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Immunoglobulin G4-related hypertrophic pachymeningitis involving cerebral parenchyma.

Author
Abstract
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The authors report a case of IgG4-related hypertrophic pachymeningitis that involved cerebral parenchyma. The mass was removed surgically. Histopathological studies showed diffuse infiltration of lymphoplasmacytic cells without evidence of Langerhans histiocytes or meningothelial cells. Immunoglobulin G4 was strongly positive on immunohistochemical staining. The Gd-enhanced lesion deep inside brain parenchyma was completely resolved after 3 months of oral corticosteroid medication. A nodular type of hypertrophic pachymeningitis that mimics a meningioma is rare. Nevertheless, preoperative presumption is very important, and immunohistochemical studies for IgG4 may be helpful in the differential diagnosis.

Year of Publication
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1969
Journal
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Journal of neurosurgery
Date Published
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2011 Aug 19
ISSN Number
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0022-3085
URL
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http://thejns.org/doi/abs/10.3171/2011.7.JNS1166?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed
DOI
:
10.3171/2011.7.JNS1166
Short Title
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Immunoglobulin G4related hypertrophic pachymeningitis involving
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