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Case Reports
. 2021 Sep 7;97(10):e1060-e1061.
doi: 10.1212/WNL.0000000000012156. Epub 2021 May 12.

Teaching NeuroImage: Papilledema and Pachymeningitis: An Atypical Presentation of Granulomatosis With Polyangiitis

Christopher Radcliffe  1 , Kunal Potnis  1 , Teng J Peng  2 , Eliza DeCroce-Movson  1 , Kathryn Zuchowski  1 , Adeniyi Fisayo  1
Affiliations
Case Reports

Teaching NeuroImage: Papilledema and Pachymeningitis: An Atypical Presentation of Granulomatosis With Polyangiitis

Christopher Radcliffe et al. Neurology. .
No abstract available

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Conflict of interest statement

The authors report no disclosures. Go to Neurology.org/N for full disclosures.

Figures

Figure 1
Figure 1. Pachymeningitis, Ventriculomegaly, and Papilledema in a Patient With Granulomatosis With Polyangiitis
(A) Postcontrast T1 sequence MRI axial view demonstrates meningeal enhancement and ventriculomegaly. (B) Postcontrast T1 sequence MRI coronal view. (C) Elevated optic disc with blurred margins and surrounding flame hemorrhages consistent with papilledema.
Figure 2
Figure 2. Resolution of Ventriculomegaly and Papilledema After Ventriculoperitoneal Shunt Placement
(A) Postcontrast T1 sequence MRI axial view demonstrates persistent meningeal enhancement and normal-sized ventricles. (B) Postcontrast T1 sequence MRI coronal view. (C) Resolution of papilledema.
See this image and copyright information in PMC

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References

    1. Smolenska Z, Masiak A, Zdrojewski Z. Hypertrophic pachymeningitis as an important neurological complication of granulomatosis with polyangiitis. Reumatologia. 2018;56(6):399-405. - PMC - PubMed
    1. Scarrow AM, Segal R, Medsger TA Jr, Wasko MC. Communicating hydrocephalus secondary to diffuse meningeal spread of Wegener's granulomatosis: case report and literature review. Neurosurgery. 1998;43(6):1470-1473. - PubMed

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