Complete response to steroids in dural inflammatory pseudotumor associated with Still's disease.


Journal Article

We report a unique case of a dural-based inflammatory pseudotumor (IPT) arising in the left cavernous sinus of a patient with a history of juvenile Still's disease. The patient presented with hemi-facial paresthesias, dull, constant headaches, and transient episodes of sharp pain along the temporalis region. Treatment with oral steroid therapy resulted in complete regression of the lesion and accompanied neuralgia symptoms. Because intracranial IPT can mimic meningiomas both clinically and radiographically and can be associated with systemic arthritic diseases, neurosurgeons should be familiar with this entity in order to avoid unnecessary radical surgery and alternatively consider a tapering course of steroid therapy.

Full Text

Duke Authors

Cited Authors

  • Batich, KA; William St Clair, E; McLendon, RE; Sampson, JH

Published Date

  • October 2013

Published In

Volume / Issue

  • 20 / 10

Start / End Page

  • 1445 - 1448

PubMed ID

  • 23768965

Pubmed Central ID

  • 23768965

Electronic International Standard Serial Number (EISSN)

  • 1532-2653

Digital Object Identifier (DOI)

  • 10.1016/j.jocn.2013.01.009


  • eng

Conference Location

  • Scotland