Asian Journal of Research and Reports in Neurology

Pachymeningitis in Ulcerative Colitis: Accidental Association?

Abir Derbel *

Departement of Internal Medicine, Hédi Chaker Hospital, 3029 Sfax, Tunisia.

Mariem Ghribi

Departement of Internal Medicine, Hédi Chaker Hospital, 3029 Sfax, Tunisia.

Olfa Frikha

Departement of Internal Medicine, Hédi Chaker Hospital, 3029 Sfax, Tunisia.

Leila Mnif

Departement of Internal Medicine, Hédi Chaker Hospital, 3029 Sfax, Tunisia.

Sameh Marzouk

Departement of Internal Medicine, Hédi Chaker Hospital, 3029 Sfax, Tunisia.

Nabil Tahri

Departement of Internal Medicine, Hédi Chaker Hospital, 3029 Sfax, Tunisia.

Zouhir Bahloul

Departement of Internal Medicine, Hédi Chaker Hospital, 3029 Sfax, Tunisia.

*Author to whom correspondence should be addressed.

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Abstract

Pachymeningitis is a rare disease defined as diffuse or localized inflammatory and fibrosing thickening of the dura mater. Its occurrence in context of Ulcerative colitis has been exceptionally described. We report a case of a woman with ulcerative colitis who developed pachymeningitis in the same time of the flare up of her disease. She was suffered from debilitating headache without any other neurological abnormalities. Brain Magnetic Resonance Imaging was revealed pachymeningitis. The patient presented a recurrent pachymeningitis associated to her ulcerative colitis; Corticosteroids improved initially her digestive and neurological symptoms therefore, a subtotal colectomy and a second round of steroids were indicated with resolution of the symptoms.

Keywords: Pachymeningitis, ulcerative colitis, neurological abnormalities.

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