Table 1.
Symptoms, severity score index and main lab and imagery results of the patient described in the case report.
| November 2006 | - Persisting facial pain, right chronic headaches resisting usual pain killers |
|---|---|
| - Cerebral CT-scan: pansinusitis | |
| March 2007 | - Same symptoms + right hypoacusia and tinnitus |
| - Cerebral CT-scan: pansinusitis predominating on the right side with right mastoiditis and otitis media | |
| - Cerebral MRI: pachymeningitis of the cerebellopontine angle | |
| June 2007 | When hospitalized: |
| - Violent headaches and vomiting: severe intracranial hypertension | |
| - Significant weight loss (- 10 kg) | |
| - Right otitis media | |
| - Paralysis of the left vocal cord (dysphonia), abolition of the gag reflex, and palatal paralysis | |
| - Cerebral MRI: unchanged | |
| - Spinal tap: Aseptic meningitis | |
| - Discovery of the aortic regurgitation | |
| - Abdominal CT-scan: focal aortic and mesenteric vasculitis and mesenteric panniculitis | |
| - Elevated C-reactive protein and leukocyte count | |
| - Polyclonal hypergammaglobulinemia | |
| - pANCA+; anti-MPO +; anti Pr3 - | |
| - BVAS = 23 | |
| June 2009 | BVAS = 2 |
BVAS: Birmingham Vasculitis Activity Score