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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La paquimeningitis cr&#243;nica hipertr&#243;fica &#40;PMCH&#41; es una rara entidad inflamatoria caracterizada por la hipertrofia cr&#243;nica idiop&#225;tica de la duramadre&#46; La afectaci&#243;n del seno cavernoso&#44; aunque rara&#44; ha sido reportada con mayor frecuencia en los &#250;ltimos a&#241;os&#46; Presentamos el caso de una paciente con PMCH que fue inicialmente diagnosticada de meningioma y en la que se evidenci&#243; oclusi&#243;n completa de la arteria car&#243;tida intracavernosa</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Esta paciente de 42 a&#241;os fue enviada a nuestro centro con el diagn&#243;stico de meningioma para recibir tratamiento radioquir&#250;rgico&#46; El diagn&#243;stico inicial se bas&#243; en la imagen de RM y en la falta de respuesta temporal a los esteroides&#46; Un estudio completo evidenci&#243; la naturaleza inflamatoria de la lesi&#243;n&#44; la cual mejor&#243; tras prolongado tratamiento corticoideo&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El diagn&#243;stico diferencial entre PMCH y meningioma puede ser dif&#237;cil debido a las similitudes en las pruebas de imagen y a la resistencia temporal a los corticoides que puede presentar la PMCH&#46; Por ello enfatizamos la utilidad del SPECT para diferenciar las entidades tumorales de las inflamatorias&#46; Nuestra paciente present&#243; adem&#225;s la peculiaridad de mostrar una oclusi&#243;n completa de la arteria car&#243;tida intracavernosa&#44; circunstancia que no hemos encontrado reportada en la literatura&#46;</p>"
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        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Idiopathic hypertrophic pachymeningitis &#40;IHPM&#41; is a rare inflammatory entity characterized by the idiopathic thickening of the dura mater&#46; An increasing number of cases have been reported involving the cavernoss sinus&#46; We present the case of a patient with IHPM who was diagnosed of meningioma and showed a complete occlusion of the intracavernous carotid ailery&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">This 42 years old woman was sent to our hospital to be treated radiosurgicaly with the diagnosis of meningioma&#46; The diagnosis was based on MRI findings and on the temporal resistance to corticoid treatment&#46; A complete study of the patient demonstrated the inflam-matoiry nature of the lesion&#44; which improved after long corticosteroid treatment&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The differential diagnosis between meningioma and IHPM may be complex because of the similarities in image findings and the temporal resistance to corticosterods shown by IHPM&#44; thus we emphasize the usefulness of the SPECT to differentiate between inflammation and tumor in this clinical setting&#46; In addition&#44; our patient showed a total occlusion of the intracavernous carotid artery and&#44; as far as we know&#44; this is the first case with such a finding reported in the literature&#46;</p>"
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Paquimeningitis crónica hipertrófica del seno cavernoso simulando meningioma con oclusión completa de la arteria carótida
Idiopathic hypertrophic pachymeningitis of the caver-nous sinus mimicking meningioma and occluding the carotid artery
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, P. González, R.D. Lobato
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A. Ramos*, J. Ruiz**
* Servicios de Neurorradiología. Hospital Universitario 12 de Octubre. Madrid
** Servicios de Neurología. Hospital Universitario 12 de Octubre. Madrid

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