Wegener's granulomatosis with unusual cavernous sinus and sella turcica extension.
Intracerebral extension of Wegener's granulomatosis (WG) is rare. We present a patient with oculomotor and trochlear nerve palsy with histologically proved WG. An MR examination revealed granulomatous tissue in nasal cavity, paranasal sinuses with meningeal infiltration, and uncommon penetration into cavernous sinus and sella turcica. The MR images before and during pharmacological therapy are presented.
Hermann
M
M
Department of Radiology, Medical University of Gdansk, Debinki 7, 80-211 Gdansk, Poland.
Bobek-Billewicz
B
B
Bullo
B
B
Hermann
A
A
Rutkowski
B
B
D001706:Biopsy; D002426:Cavernous Sinus / Q000000981:diagnostic imaging / Q000473:pathology; D003520:Cyclophosphamide / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005938:Glucocorticoids / Q000627:therapeutic use; D014890:Granulomatosis with Polyangiitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000209:etiology; D012658:Sella Turcica / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed; D020432:Trochlear Nerve Diseases / Q000175:diagnosis / Q000209:etiology
D005938:Glucocorticoids; D007166:Immunosuppressive Agents; D003520:Cyclophosphamide