Annals of Indian Academy of Neurology
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CASE REPORT
Year : 2013  |  Volume : 16  |  Issue : 3  |  Page : 411-413

Chronic meningitis with multiple cranial neuropathies: A rare initial presentation of Wegener's granulomatosis


Department of Neurology, Sawai Man Singh Medical College, Jaipur, Rajasthan, India

Correspondence Address:
Anjani Kumar Sharma
36, Ram Gali No 7, Raja Park, Jaipur, Rajasthan - 302 004
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.116920

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Wegener's granulomatosis (WG) is a systemic necrotizing vasculitis that affects the small blood vessels. It mainly affects the upper and lower respiratory tract and kidneys. Central nervous system (CNS) involvement is rare, and has been reported only in about 8% of cases during the course of illness. Initial presentation with neurologic affection, particularly chronic hypertrophic meningitis is very unusual. We report the case of a 34 year old male who presented with chronic hypertrophic meningitis and multiple cranial nerve involvement as the initial manifestation, without respiratory and renal symptoms. This case highlights the difficulties in diagnosing a rare disease with rarer presentation, and at the same time illustrates that Wegener's granulomatosis should be considered in the differential diagnosis of chronic meningitis.


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