GORDON R. KAMMAN, M.D., F.A.C.P.; A. B. BAKER, M.D., Ph.D.
The case about to be reported belongs to the group of disorders erroneously referred to as "chronic hypertrophic spinal pachymeningitis." We say "erroneously referred to" because in most cases reported, the leptomeninges as well as the dura were adherent and involved in the pathological process. Since the detailed histological studies in our case provide additional evidence that the pathological process is something more than a hypertrophic "pachymeningitis" and since such cases are comparatively rare, a report of the present case seems justified.
Syphilis and tuberculosis have been considered the chief etiological agents in this disease, the former being by far
KAMMAN GR, BAKER AB. SYPHILITIC PAN-MENINGITIS (SO-CALLED CHRONIC HYPERTROPHIC SPINAL PACHYMENINGITIS)1. Ann Intern Med. ;15:748–756. doi: 10.7326/0003-4819-15-4-748
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Published: Ann Intern Med. 1941;15(4):748-756.
CNS Infections, Infectious Disease, Neurology.
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