Ｍｉｇｒａｔｉｎｇ　ｄｉｓｓｅｍｈｌａｔｅｄ　ｍｕｌｔｔｉｐｌｅ　ｃｒａｎｉａｌｎｅｕｒｏｐａｔｈｙを呈した耳性肥厚性硬膜炎

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  • Chronic hypertrophic pachymeningitis due to otitis media assosiated with "migrating disseminated multiple cranial neuropathy".

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A 60-year-old male suffered from left temporalgia and developed mastoiditis. A jugular foramen syndrome (cranial nerve IX, X and XII deficit) that occurred in spite of mastoidectomy was improved by means of dissection of petrosal part.<BR>One month later. at the contra-lateral side of the jugular foramen syndrome, Gradenigo syndrome originated from mastoiditis occurred. Mastoidectomy resulted in improvement of clinical symptoms.<BR>Five months after the surgery, the patient developed left superior orbital fissure syndrome (cranial nerve II, III and V palsy) with thickening of the dura mater which was demonstrated by Gd-DTPA MRI.<BR>Corticosteroid therapy was effective except for blindness.<BR>These clinical findings of cranial nerve palsies were suspected to be associated with the migrating disseminated multiple cranial neuropathy.

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