{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T16:03:31Z","timestamp":1792598611238,"version":"4.5.0"},"reference-count":23,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2002,11]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 The authors describe a unique presentation of Wegener granulomatosis (WG) manifesting predominantly as meningitis. Magnetic resonance imaging demonstrated diffuse meningeal enhancement, including the pia mater, in a 28-yearold man with meningitis. A diagnosis of atypical WG was based on the findings of a dural biopsy sample and an elevated cytoplasmic antineutrophil cytoplasmic antibody (cANCA) titer, although the patient did not have any of the lesions common to WG. Immunosuppressive therapy was quite effective. With treatment, the meningeal enhancement resolved and the cANCA titer normalized. Meningeal granulomatosis as the sole lesion in WG has never been reported in the literature. This atypical course of WG should be noted.<\/jats:p>","DOI":"10.3171\/jns.2002.97.5.1229","type":"journal-article","created":{"date-parts":[[2009,5,13]],"date-time":"2009-05-13T17:43:29Z","timestamp":1242236609000},"page":"1229-1232","source":"Crossref","is-referenced-by-count":13,"title":["Wegener granulomatosis manifesting as meningitis"],"prefix":"10.3171","volume":"97","author":[{"given":"Takao","family":"Yasuhara","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toru","family":"Fukuhara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minoru","family":"Nakagawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinori","family":"Terai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimihiro","family":"Yoshino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Mizobuchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunichiro","family":"Fujimoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1212\/WNL.27.3.262","article-title":"Subacute meningitis heralding a diffuse granulomatous angiitis (Wegener's granulomatosis?).","volume":"27","author":"Atcheson","year":"1977"},{"key":"b2","series-title":"Arch Neurol","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1001\/archneur.1963.00460020045003","article-title":"Neurological complications of Wegener's granulomatosis.","volume":"8","author":"Drachman","year":"1963"},{"key":"b3","series-title":"Ann Intern Med","doi-asserted-by":"publisher","first-page":"76","DOI":"10.7326\/0003-4819-98-1-76","article-title":"Wegener's granulomatosis: prospective clinical and therapeutic experience with 85 patients for 21 years.","volume":"98","author":"Fauci","year":"1983"},{"key":"b4","series-title":"Ann Intern Med","doi-asserted-by":"publisher","first-page":"488","DOI":"10.7326\/0003-4819-116-6-488","article-title":"Wegener granulomatosis: an analysis of 158 patients.","volume":"116","author":"Hoffman","year":"1992"},{"key":"b5","series-title":"J Rheumatol","first-page":"1009","article-title":"Meningeal involvement in Wegener's granulomatosis.","volume":"25","author":"Katrib","year":"1998"},{"key":"b6","series-title":"Arthritis Rheum","first-page":"1101","article-title":"The American College of Rheumatology 1990 criteria for the classification of Wegener's granulomatosis.","volume":"33","author":"Leavitt","year":"1990"},{"key":"b7","series-title":"Nihon Kokyuki Gakkai Zasshi","first-page":"562","article-title":"[A case of Wegener's granulomatosis with pachymeningitis.]","volume":"38","author":"Niimi","year":"2000"},{"key":"b8","series-title":"Ann Intern Med","doi-asserted-by":"publisher","first-page":"28","DOI":"10.7326\/0003-4819-111-1-28","article-title":"Anticytoplasmic autoantibodies: their immunodiagnostic value in Wegener granulomatosis.","volume":"111","author":"N\u00f6lle","year":"1989"},{"key":"b9","series-title":"Neuroradiology","doi-asserted-by":"publisher","first-page":"847","DOI":"10.1007\/s002340050855","article-title":"Pial involvement in Wegener's granulomatosis shown on MRI.","volume":"41","author":"Nusbaum","year":"1999"},{"key":"b10","series-title":"Rev Pneumol Clin","first-page":"21","article-title":"[Treatment of pulmonary vasculitis.]","volume":"50","author":"Piette","year":"1994"},{"key":"b11","series-title":"Q J Med","first-page":"435","article-title":"Wegener's granulomatosis: Observations on 18 patients with severe renal disease.","volume":"52","author":"Pinching","year":"1983"},{"key":"b12","series-title":"AJNR","first-page":"785","article-title":"Wegener granulomatosis: CT and MR findings.","volume":"17","author":"Provenzale","year":"1996"},{"key":"b13","series-title":"Neurosurgery","first-page":"1470","article-title":"Communicating hydrocephalus secondary to diffuse meningeal spread of Wegener's granulomatosis: case report and literature review.","volume":"43","author":"Scarrow","year":"1998"},{"key":"b14","series-title":"Intern Med","doi-asserted-by":"publisher","first-page":"514","DOI":"10.2169\/internalmedicine.36.514","article-title":"Wegener's granu lomatosis with dural involvement as the initial clinical manifestation.","volume":"36","author":"Shiotani","year":"1997"},{"key":"b15","series-title":"Rheum Dis Clin North Am","first-page":"377","article-title":"Granulomatous vasculitis. 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