Atypical Meningeal Involvement in Wegener Granulomatosis: MR Imaging Survey of a Particular Case

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Wegener granulomatosis with meningeal involvement.

The clinical, radiographic, and neuropathologic features of the case of a 41-year-old man with Wegener granulomatosis presenting with neurologic symptoms are correlated. CT and MR scans of the head demonstrated extensive meningeal thickening and enhancement. The importance of considering this diagnosis, confirmed by antineutrophil cytoplasmic autoantibodies, is emphasized.

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Involvement of the brain and meninges is rare in cases of Wegener granulomatosis, occurring in 2% to 8% of cases. Meningeal involvement in association with Wegener granulomatosis has scarcely been reported as being confined to the dura mater of brain on images and is thought to represent granulomatous infiltration. There are a few reported cases of Wegener granulomatosis that document involveme...

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ژورنال

عنوان ژورنال: American Journal of Neuroradiology

سال: 2009

ISSN: 0195-6108,1936-959X

DOI: 10.3174/ajnr.a1645