{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:58Z","timestamp":1756425778405,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,11,25]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>A rare case of IgG4-related pachymeningitis is presented. The manuscript describes the multidisciplinary treatment of a rare entity in an exceptional location, prompting emergent surgical treatment. However, the correct intraoperative hypothesis led to a minimal surgical approach with fewer risks and good disease control. Finding a balance between maximising treatment outcome and minimising risks is often difficult for clinicians worldwide who encounter the same clinical dilemma. The known cases are summarised, as are radiological characteristics and common treatments.<\/jats:p>","DOI":"10.1136\/bcr-2022-251381","type":"journal-article","created":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T12:10:13Z","timestamp":1703765413000},"page":"e251381","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Extensive, circumferential, epidural spinal cord compression by IgG4-related pachymeningitis"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1704-7334","authenticated-orcid":false,"given":"Finn","family":"Segers","sequence":"first","affiliation":[{"name":"Department of Hematology, University Hospitals Leuven, Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan AM","family":"van Laar","sequence":"additional","affiliation":[{"name":"Departments of Internal Medicine and Immunology, Erasmus Medical Center, Rotterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johanna AM","family":"Wijbenga","sequence":"additional","affiliation":[{"name":"Reinier de Graaf Gasthuis, Delft, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Godard CW","family":"de Ruiter","sequence":"additional","affiliation":[{"name":"Haaglanden Medisch Centrum (HMC), Den Haag, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,12,28]]},"reference":[{"key":"2025082800551955000_16.12.e251381.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60720-0"},{"key":"2025082800551955000_16.12.e251381.2","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1136\/ard-2023-223950","article-title":"Incidence, prevalence and mortality of Igg4-related disease in the USA: a claims-based analysis of commercially insured adults","volume":"82","author":"Wallace","year":"2023","journal-title":"Ann Rheum Dis"},{"key":"2025082800551955000_16.12.e251381.3","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1016\/j.wneu.2019.10.195","article-title":"Igg4-related disease of the craniovertebral junction","volume":"134","author":"Park","year":"2020","journal-title":"World Neurosurg"},{"key":"2025082800551955000_16.12.e251381.4","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1080\/02688697.2017.1384793","article-title":"Igg4-related disease presenting as intradural extramedullary lesion: a case report and review of the literature","volume":"33","author":"Bridges","year":"2019","journal-title":"Br J Neurosurg"},{"key":"2025082800551955000_16.12.e251381.5","doi-asserted-by":"publisher","DOI":"10.1038\/modpathol.2012.72"},{"key":"2025082800551955000_16.12.e251381.6","doi-asserted-by":"publisher","DOI":"10.1007\/s00401-010-0746-2"},{"key":"2025082800551955000_16.12.e251381.7","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1016\/j.crad.2023.03.003","article-title":"Imaging manifestations of Igg4-related disease","volume":"78","author":"Naik","year":"2023","journal-title":"Clin Radiol"},{"key":"2025082800551955000_16.12.e251381.8","first-page":"275","article-title":"The treatment outcomes in Igg4-related disease","volume":"76","author":"Karim","year":"2018","journal-title":"Neth J Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-251381","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:55:28Z","timestamp":1756367728000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-251381"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":8,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023,12,28]]},"published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1136\/bcr-2022-251381"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-251381","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,12]]}}}