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Cerebrospinal fluid pressure progressively increased, and imaging demonstrated progression from unilateral to bilateral involvement of the tentorium cerebelli. Clinically, the patient\u2019s hypertrophic pachymeningitis was considered associated with otitis media. After receiving high\u2010dose corticosteroid pulse therapy, the patient experienced marked relief of the headache and associated symptoms, which was presumed to be related to postinfectious immune\u2013inflammatory mechanisms.<\/jats:p>","DOI":"10.1155\/carm\/4541532","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T20:54:35Z","timestamp":1773003275000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hypertrophic Pachymeningitis Possibly Secondary to Otitis Media"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9396-5711","authenticated-orcid":false,"given":"Bo","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guoyong","family":"Qin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiafang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7753-3567","authenticated-orcid":false,"given":"Kebin","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,4]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000040903"},{"key":"e_1_2_10_2_2","first-page":"821","article-title":"Contrast-Enhanced MR Imaging of Tuberculous Pachymeningitis Cranialis Hypertrophica: Case Report","volume":"11","author":"Callebaut J.","year":"1990","journal-title":"American Journal of Neuroradiology"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.0692-22"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2023-254847"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12026-016-8863-1"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2020.102074"},{"key":"e_1_2_10_7_2","first-page":"53","article-title":"Idiopathic Hypertrophic Cranial Pachymeningitis","volume":"50","author":"Sylaja P. 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