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Annals of the Rheumatic Diseases logoLink to Annals of the Rheumatic Diseases
. 1988 Jul;47(7):606–611. doi: 10.1136/ard.47.7.606

Extensive cerebral infarction due to involvement of both anterior cerebral arteries by Wegener's granulomatosis.

J Satoh 1, N Miyasaka 1, T Yamada 1, T Nishido 1, M Okuda 1, T Kuroiwa 1, R Shimokawa 1
PMCID: PMC1003580  PMID: 3401059

Abstract

The central nervous system is often affected in Wegener's granulomatosis (WG), but massive cerebral infarction due to occlusion of branches of the anterior cerebral arteries (ACA) by granulomatous lesions or thrombosis, or both, has seldom been reported. A case is reported here of a 67 year old man with WG complicated by generalised necrotising vasculitis in the lung, kidney, and gastrointestinal tract, and cerebral infarction in the territory of both anterior cerebral arteries, probably caused by thrombosis and a contiguous invasion of granulomatous lesion from the nasal cavity.

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Selected References

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