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Enhanced MR Imaging of Hypertrophic Pachymeningitis AJR 169:1425-1428, Friedman,D.P.&Flanders,A.E., 1997 See this aricle in Pubmed Article Abstract A differential pattern of enhancement consisting of intense enhancement of the peripheral margin of the abnormal pachymeninges was present in all cases.In two patients,much of the remaining abnormal pachymeninges did not enhance at all.On the basis of the microscopic pathology of hypertrophic pachymeningitis,the physiology of normal meningeal enhancement on MRI imaging and the described MR appearance of other pachymeningeal lesions, this differential pattern of enhancement should strongly suggest the diagnosis of hypertrophic pachymeningitis.

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