• World Neurosurg · Nov 2017

    Case Reports

    Non tuberculous ANCA positive pachymeningitis presenting as high cervical myelopathy.

    • Rajesh Parameshwaran Nair and Lakshman I Kongwad.
    • Department of Neurosurgery, Kasturba Medical College, Manipal, Karanataka, India. Electronic address: rajeshnair39@yahoo.com.
    • World Neurosurg. 2017 Nov 1; 107: 1042.e1-1042.e5.

    AbstractHigh cervical myelopathy is a common entity and often encountered in clinical practice. Various pathologies can present with this symptomatology. Detailed history and a meticulous neurological examination can help us differentiate and rule out some of the close differentials. Non tuberculous ANCA positive pachymeningitis is a rare entity and a diagnosis of exclusion or following histopathological confirmation. Here we describe a case of high cervical myelopathy, the presentation, imaging and the various differentials considered and how we arrived at the diagnosis.Copyright © 2017 Elsevier Inc. All rights reserved.

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