A case of granuloma in the occipital lobe of a patient with Wegener's granulomatosis

Modern Rheumatology
Naoto AzumaYukihiko Saeki

Abstract

We report a case of Wegener's granulomatosis (WG) with central nervous system (CNS) involvement in a woman who complained of bilateral visual disturbance. The intracranial necrotizing granulomatous lesion was confirmed by MR imaging and brain biopsy. After high-dose oral corticosteroid treatment, not only clinical manifestations but also laboratory tests improved. Moreover, the CNS lesion completely regressed. This suggests that high-dose corticosteroid alone might be effective in treating WG with CNS involvement.

References

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Dec 2, 1999·Radiology·J M MurphyM Lockwood
Jan 31, 2002·Blood Purification·Knut AasarødStørker Jørstad
Jun 18, 2003·Annals of the Rheumatic Diseases·R H J A SlartC A Stegeman

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Citations

May 7, 2013·Surgical Neurology International·Amit PatelMichael D Jenkinson

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