I am being worked up for pachymeningitis. It was diagnosed by MRI while looking for the cause of hearing loss. It is complicated by also having Rheumtoid arthritis. I have constant pressure and headache. My neurologist is aggressively looking for the cause. He has had one other patient who unlike me was asymptomatic. I am awaiting results of CTs and MRIs. My next step is to consult a rheumatologist at a major university teaching/research hospital. I have no recommendations at yet. I would like to stay in contact with you. This is a lonely journey