Localized Pachymeningitis - An Uncommon Complication of Chronic Otitis Media and Mastoiditis

Authors: Harshit T*, Divya S, Neha N and Rajesh G

DOI: 10.23880/crij-16000221

Volume 8, Issue 1

Abstract

We describe the case history of a 55-year-old male presenting with gradual onset of bilateral facial nerve paralysis. A radiological test of CT temporal bone revealed soft tissue thickening in bilateral mastoid air cells and middle ear cavities. Tl weighted contrast-enhanced MRI revealed thickening and early enhancement of the adjacent dura, indicating active pachymeningitis. The past middle ear infection appears to cause the above inflammatory findings in the meninges and worsening on the untreated side. Currently, he is on steroids with some improvement in facial nerve paralysis.

Keywords: Hypertrophic Pachymeningitis; Metastasis; Wegener’s Granulomatosis; Rheumatoid Arthritis; Sarcoidosis; Masked Mastoiditis; Biopsy

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