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Multifocal Dural Enhancement Associated With Temporal Arteritis
Ealon Joelson, MD;
Breanna Ruthrauff, MD;
Feraz Ali, MD;
Neil Lindeman, MD;
Frank R. Sharp, MD
Arch Neurol. 2000;57:119-122.
Objective To report the association of temporal arteritis and enhancement of the dura mater and temporalis muscle.
Design and Methods A single patient with a complaint of headache and diplopia was studied.
Setting Academic medical center.
Patient A 69-year-old man presented with lateral rectus weakness, temporal artery tenderness, and an erythrocyte sedimentation rate of 65 mm/h.
Intervention Biopsy of temporal artery and dura mater.
Main Outcome Measures Brain magnetic resonance imaging and pathological findings.
Results Magnetic resonance imaging of the brain showed multifocal dural enhancement and enhancement of the temporalis muscles. The temporal artery showed a necrotizing vasculitis and the dura showed perivascular inflammatory cells.
Conclusion It is proposed that the temporal arteritis caused the multifocal dural enhancement and temporalis muscle enhancement on magnetic resonance imaging.
From the Departments of Neurology (Drs Joelson, Ruthrauff, and Sharp), Neuroradiology (Dr Ali), and Neuropathology (Dr Lindeman), University of California, San Francisco. Dr Sharp is now with the Department of Neurology, University of Cincinnati, Cincinnati, Ohio.
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