Child's Nervous System

, Volume 35, Issue 4, pp 585–587 | Cite as

“Encased brain” in hypertrophic pachymeningitis

  • Indar Kumar Sharawat
  • Arushi Gahlot SainiEmail author
  • Sameer Vyas
  • Naveen Sankhyan
Letter to the Editor

Dear Editor:

A 4-year-old girl presented with a history of acute-onset drooping of the left eye lid for 10 days. There was no associated fever, cough, reduced appetite, recent-onset motor weakness, seizure, or alteration in consciousness. She had been diagnosed with tubercular meningitis with vasculitis, left hemiparesis, and communicating hydrocephalous at the age of 1.5 years (Fig.  1a–d) and took a prolonged course of anti-tubercular therapy for 2 years. At 3 years of age, she underwent right ventriculoperitoneal shunt placement for symptomatic hydrocephalous. Subsequently, she had remained well with residual hemiparesis.


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Conflict of interest

Nothing to declare.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Indar Kumar Sharawat
    • 1
  • Arushi Gahlot Saini
    • 1
    Email author
  • Sameer Vyas
    • 2
  • Naveen Sankhyan
    • 1
  1. 1.Pediatric Neurology Unit, Department of PediatricsPostgraduate Institute of Medical Education and ResearchChandigarhIndia
  2. 2.Department of Radiodiagnosis and ImagingPostgraduate Institute of Medical Education and ResearchChandigarhIndia

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