Cranial nerve injury as an initial sign of wegener granulomatosis: Misdiagnosis and fatal course in two cases


Turgutalp K., Köşeci T., Tabakan F., GÜRSES İ., Çiçekli Turgutalp S., Gök Oǧuz E., ...More

Turkish Nephrology, Dialysis and Transplantation Journal, vol.23, no.2, pp.164-168, 2014 (SCI-Expanded, ESCI, Scopus, TRDizin) identifier identifier

Abstract

Highest prevalence of all antineutrophil cytoplasmic antibody associated systemic vasculitides is the Wegener granulomatosis, and it's typically characterized by a necrotizing granulomatous vasculitis of the respiratory tracts, kidneys, and skin. Neurologic involvement in Wegener granulomatosis ranges from 22% to 54%, but central nervous system involvement is from 2% to 8%. Cranial nerve involvement as an initial sign with concomitant systemic disease is extremely rare. Involvement of one or more cranial nerves is generally a seemingly isolated finding in Wegener granulomatosis. We present WG cases that presented with treatment-resistant cranial nerve involvement and acute fatal pulmonary-renal syndrome.