Author/Authors :
Auboire, Laurent Université François-Rabelais de Tours - Inserm, Imagerie et Cerveau UMR U930, France , Boutemy, Jonathan Centre Hospitalier Universitaire de Caen - Department of internal medicine, France , Constans, Jean Marc Université de Caen Basse-Normandie - Medical School, France , Constans, Jean Marc Centre Hospitalier Universitaire de Caen - Department of Radiology, France , Le Gallou, Thomas Centre Hospitalier Universitaire de Caen - Department of internal medicine, France , Busson, Philippe Centre Hospitalier Universitaire de Caen - Department of Medicine, France , Bienvenu, Boris Centre Hospitalier Universitaire de Caen - Department of internal medicine, France , Bienvenu, Boris Université de Caen Basse-Normandie - Medical School, France , auboire, l. université françois-rabelais de tours,inserm,imagerie et cerveau umr u930, France , boutemy, j. chu de caen,department of internal medicine, France , constans, j.m. université de caen basse-normandie,medical school,caen,france,chu de caen,department of radiology, France , gallou, t.l. chu de caen,department of internal medicine, France , busson, p. ch d’avranches,department of medicine 2, France , bienvenu, b. chu de caen,department of internal medicine,caen,france,université de caen basse-normandie,medical school, France
Abstract :
Background: Although occipital neuralgia is usually caused by degenerative arthropathy, nearly 20 other aetiologies may lead to this condition. Methods: We present the first case report of hypertrophic pachymeningitis revealed by isolated occipital neuralgia. Results and conclusions: Idiopathic hypertrophic pachymeningitis is a plausible cause of occipital neuralgia and may present without cranial-nerve palsy. There is no consensus on the treatment for idiopathic hypertrophic pachymeningitis, but the usual approach is to start corticotherapy and then to add immunosuppressants. When occipital neuralgia is not clinically isolated or when a first-line treatment fails, another disease diagnosis should be considered. However, the cost effectiveness of extended investigations needs to be considered.
