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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 24:18-21, January 2003
© 2003 American Society of Neuroradiology

Case Report
SPINE

MR Imaging in Wegener Granulomatosis of the Spinal Cord

Hans-J. Mentzel^a, Thomas Neumann^b, Clemens Fitzek^a, Dieter Sauner^a, Jürgen R. Reichenbach^a and Werner A. Kaiser^a

^a Institute of Diagnostic and Interventional Radiology, Friedrich-Schiller University, Jena, Germany
^b Department of Internal Medicine, Friedrich-Schiller University, Jena, Germany

Address reprint requests to Hans-Joachim Mentzel, MD, Institute of Diagnostic and Interventional Radiology, Bachstraße 18, 07740 Jena, Germany

Summary: Wegener granulomatosis is a multisystemic disorder characterized by necrotizing vasculitis that primarily involves the respiratory tract. The orbits, heart, skin, joints, and nervous system are frequently involved. We describe the MR imaging findings of Wegener granulomatosis in the cervical spine and correlate them with the histopathologic features. MR imaging showed epidural liquid masses surrounded by granulomatous masses that compressed the cervical myelin from behind.

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