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American Journal of Neuroradiology, Vol 19, Issue 3 450-453, Copyright © 1998 by American Society of Neuroradiology

ARTICLES

Idiopathic hypertrophic cranial pachymeningitis with accumulation of thallium-201 on single-photon emission CT

H Nishioka, H Ito, J Haraoka, Y Yamada and H Nojima
Department of Neurosurgery, Tokyo Medical College, Japan.

We report a case of idiopathic hypertrophic cranial pachymeningitis in which a high accumulation of thallium-201 was observed on an early single-photon emission CT (SPECT) scan. The patient's symptoms initially improved with steroid therapy but recurred repeatedly. MR images failed to show any change with treatment; however, thallium-201 uptake correlated closely with the fluctuation of symptoms. 201Tl-SPECT was therefore useful in identifying inflammatory activity that was not detected by MR imaging.


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Copyright © 2008 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X