Pachymeningitis as a presenting manifestation of Wegener`s granulomatosis

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An Exceptional GPA: Granulomatosis with Polyangiitis Presenting as Hypertrophic Pachymeningitis

Background: Granulomatosis with polyangiitis (GPA) is a necrotizing vasculitis usually involving small blood vessels that has been described to rarely effect the meninges, presenting with headaches and in our case papilledema. Thickened dura mater may be seen on brain imaging and is an entity known as hypertrophic pachymeningitis. We present a case of isolated dural recrudescence of ANCA vascul...

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ENT manifestations of Wegeners granulomatosis.

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Wegener's granulomatosis is a granulomatous necrotizing vasculitis characterized by its predilection to affect the upper and lower respiratory tracts and kidneys. Ocular manifestations such as keratitis, conjunctivitis, scleritis, episcleritis, nasolacrimal duct obstruction, uveitis, retroorbital pseudotumor with proptosis retinal vessel occlusion, and optic neuritis have all been described. We...

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Neuro-Behçet's Disease Presenting as Hypertrophic Pachymeningitis

A 25-year-old man presented with blurred vision and chronic headache. His brain MRI revealed bilateral frontal pachymeningeal enhancement with leptomeningeal enhancement. The patient had experienced recurrent oral ulcer and had anterior uveitis and papulopustules skin lesion. We diagnosed him with hypertrophic pachymeningitis (HP) associated with neuro-Behçet's disease (NBD). There have been fe...

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Wegener's Granulomatosis Presenting as a Parapharyngeal Mass.

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ژورنال

عنوان ژورنال: Journal of the Neurological Sciences

سال: 2019

ISSN: 0022-510X

DOI: 10.1016/j.jns.2019.10.807