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A 41-YEAR-OLD MALE WITH PROGRESSIVE PARAPARESIS © 2014 American Academy of Neurology.

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Presentation on theme: "A 41-YEAR-OLD MALE WITH PROGRESSIVE PARAPARESIS © 2014 American Academy of Neurology."— Presentation transcript:

1 A 41-YEAR-OLD MALE WITH PROGRESSIVE PARAPARESIS © 2014 American Academy of Neurology

2 Vignette 41-year-old male Bilateral legs numbness and paraparesis for 3 months No trauma history Neurological examination: sensory and motor impairment below T4 dermatome and hyperreflexia Hsu et al. © 2014 American Academy of Neurology

3 Imaging Hsu et al. © 2014 American Academy of Neurology

4 Idiopathic hypertrophic spinal pachymeningitis mimicking epidural lymphoma Hsu et al. © 2014 American Academy of Neurology IHSP is a rare inflammatory disease characterized by hypertrophic inflammation of the dura mater Typical MRI finding of IHSP: long epidural mass of low T2 signal intensity with peripheral enhancement Homogeneous enhancement is typical of and could be mistaken for epidural lymphoma

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