Surgical management of recurrent spinal hypertrophic pachymeningitis: illustrative case

This case demonstrates the effective use of a multidisciplinary team and recurrent surgical management, incorporating adjuncts such as intraoperative ultrasound and dural patch closure in the management of pachymeningitis causing significant cord compression, ultimately leading to lasting positive clinical improvement. https://thejns.org/doi/10.3171/CASE25313.

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Publication Details

Journal
Journal of Neurosurgery Case Lessons
Published
2026-01-19
DOI
https://doi.org/10.3171/case25313
Primary Topic
IgG4-Related and Inflammatory Diseases
Type
article
Field-Weighted Citation Impact
0.00
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article

Surgical management of recurrent spinal hypertrophic pachymeningitis: illustrative case

Eleonora F. Spinazzi, Justin A. Neira, Nina Yoh, Nathan J. Winans et al.
Journal of Neurosurgery Case Lessons
IgG4-Related and Inflammatory Diseases
article

Surgical management of recurrent spinal hypertrophic pachymeningitis: illustrative case

Eleonora F. Spinazzi, Justin A. Neira, Nina Yoh, Nathan J. Winans, Misha Amini, Andrés Pascual-Leone
article en

Abstract

This case demonstrates the effective use of a multidisciplinary team and recurrent surgical management, incorporating adjuncts such as intraoperative ultrasound and dural patch closure in the management of pachymeningitis causing significant cord compression, ultimately leading to lasting positive clinical improvement. https://thejns.org/doi/10.3171/CASE25313.

Journal of Neurosurgery Case LessonsVol. 11(3)
Columbia University Irving Medical Center (US)
Good health and well-being
Openalex Percentile: Top 83%
IgG4-Related and Inflammatory Diseases
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Surgical management of recurrent spinal hypertrophic pachymeningitis: illustrative case — Eleonora F. Spinazzi, Justin A. Neira, et al. · Journal of Neurosurgery Case Lessons (2026) | TGRS Research Map | TGRS