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American Journal of Neuroradiology 23:312-315, February 2002
© 2002 American Society of Neuroradiology

Case Report
HEAD AND NECK

Wegener Granulomatosis Involving the Pterygopalatine Fossa: An Unusual Case of Trigeminal Neuropathy

Kathlyn Marsot-Dupucha, Sebastien Clement De Givryb and Michel Ouayounc

a Department of Radiology, Hopital Bicêtre 78, Le Kremlin-Bicêtre, France
b Department of Radiology, Hopital Tenon, Paris, France
c Department of Otorhinolaryngology, Hopital Avicenne, Bobigny, France

Address reprint requests to Kathlyn Marsot-Dupuch, MD, Service de Radiologie, Hopital Bicêtre 78, Rue du Général Leclerc, Le Kremlin-Bicêtre, France

Summary: We report on a case of Wegener granulomatosis in the pterygopalatine fossa that was associated with trigeminal neuropathy. MR and CT examinations were useful in depicting the extent of the lesion and suggesting a perineural spread. Diagnosis was confirmed with positive serum assay findings for the presence of cytoplasmic antineutrophil cytoplasm antibody.






Copyright © 2008 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X