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Ko-Ying Kuo

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Articles

Teaching NeuroImage: Pachymeningitis as the Initial Manifestation of Kikuchi-Fujimoto Disease

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By Brian Wu, Chun-Chieh Wu, Ko-Ying Kuo
| Neurology Verified
Resident & Fellow Section Free Access July 14, 2026 issue 107 (1) e218246 A 36-year-old Asian woman presented with intermittent fever and headache for 10 days, accompanied by neck stiffness and photophobia. Neurologic examination revealed meningismus without focal deficits. CSF studies showed lymphocytic pleocytosis and hypoglycorrhachia, while brain MRI demonstrated diffuse, smooth pachymeningeal thickening (Figure 1A).
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