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Updated: Jun 29, 2026
05:12
Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome
Published on: September 19, 2019
[Wegener's granulomatosis presenting with ischaemic stroke]
Maria Wieteska1, Liliana Wawrzyńska, Elzbieta Wiatr
1Klinika Chorób Wewnetrznych Klatki Piersiowej Instytutu Gruźlicy i Chorób Płuc w Warszawie.
Pneumonologia I Alergologia Polska
|October 11, 2008
Summary
Wegener's granulomatosis, a rare vasculitis, can cause unexpected neurological issues like stroke. Early diagnosis and treatment with chemotherapy led to significant improvement in this patient.
Area of Science:
- Medicine
- Neurology
- Rheumatology
Background:
- Wegener's granulomatosis (WG) is a systemic necrotizing granulomatous vasculitis affecting multiple organs.
- WG primarily involves the respiratory tract and kidneys, but can present with diverse clinical manifestations.
Observation:
- A 44-year-old woman presented with pulmonary nodules, hilar lymphadenopathy, and sudden-onset hemiparesis.
- Cerebral computed tomography confirmed an ischemic stroke, an unusual neurological manifestation for WG.
Findings:
- Histological examination of a lung biopsy confirmed the diagnosis of Wegener's granulomatosis.
- The patient received combination chemotherapy with prednisolone and cyclophosphamide.
Implications:
- This case highlights the importance of considering WG in patients with unexplained neurological symptoms and pulmonary findings.
- Prompt diagnosis and treatment of WG can lead to significant improvement in both neurological and systemic conditions.
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