Rheumatoid pachymeningitis

HJ Tan, AA Raymond, PP Phadke, Z Rozman
Correspondence: Dr Tan Hui Jan, tanhuijan@hotmail.com

ABSTRACT
Symptomatic rheumatoid pachymeningitis is a rare extra-articular manifestation of rheumatoid arthritis. Clinical symptoms are non-specific and diagnosis is frequently made by exclusion. We present a 61-year-old woman with a 9-year history of rheumatoid arthritis presenting with deafness and progressive disability over a two month duration. She was diagnosed as having rheumatoid pachymeningitis based on the cerebral magnetic resonance imaging findings.

Keywords: internal auditory canals, magnetic resonance imaging, rheumatoid arthritis, rheumatoid pachymeningitis, sensorineural deafness
Singapore Med J 2004; 45(7): 337-339