Rheumatoid pachymeningitis is a rare complication of rheumatoid arthritis (RA) and is a diagnosis of exclusion1,2.
A 57-year-old male from El Salvador with a history of longstanding seropositive, nonerosive RA and interstitial lung disease, who was noncompliant with medical treatment, presented with severe occipital headache for about 8 months. The headache was associated with photophobia, phonophobia, and nausea, and was exacerbated by bending, laying supine, …