Isolated Cranial Nerve VI Palsy in Granulomatosis With Polyangiitis

Granulomatosis with polyangiitis has many presentations and is known to cause optic neuropathies, but the mechanism of injury is usually related to mass effect from a space-occupying granuloma. In this case report, we present a patient with cranial nerve VI mononeuropathy from granulomatosis with po...

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Main Authors: Alexis Trujillo, David B. Jackson, Jonathon Coy, Chau Tran, Jacob Imber
Format: Article
Language:English
Published: American College of Physicians 2024-04-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2023.1078
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author Alexis Trujillo
David B. Jackson
Jonathon Coy
Chau Tran
Jacob Imber
author_facet Alexis Trujillo
David B. Jackson
Jonathon Coy
Chau Tran
Jacob Imber
author_sort Alexis Trujillo
collection DOAJ
description Granulomatosis with polyangiitis has many presentations and is known to cause optic neuropathies, but the mechanism of injury is usually related to mass effect from a space-occupying granuloma. In this case report, we present a patient with cranial nerve VI mononeuropathy from granulomatosis with polyangiitis secondary to inflammation alone. This underscores the importance of considering vasculitis in the setting of neuropathy even in the absence of space-occupying lesion.
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institution OA Journals
issn 2767-7664
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publishDate 2024-04-01
publisher American College of Physicians
record_format Article
series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-0bc7fc0be0e54e7d99b0d9d1fe0adcf12025-08-20T02:11:45ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642024-04-013410.7326/aimcc.2023.1078Isolated Cranial Nerve VI Palsy in Granulomatosis With PolyangiitisAlexis Trujillo0David B. Jackson1Jonathon Coy2Chau Tran3Jacob Imber41Department of Neurology, University of New Mexico, Albuquerque, New Mexico2Department of Internal Medicine, University of New Mexico, Albuquerque, New Mexico2Department of Internal Medicine, University of New Mexico, Albuquerque, New Mexico3Department of Physical Medicine and Rehabilitation, University of New Mexico, Albuquerque, New Mexico2Department of Internal Medicine, University of New Mexico, Albuquerque, New MexicoGranulomatosis with polyangiitis has many presentations and is known to cause optic neuropathies, but the mechanism of injury is usually related to mass effect from a space-occupying granuloma. In this case report, we present a patient with cranial nerve VI mononeuropathy from granulomatosis with polyangiitis secondary to inflammation alone. This underscores the importance of considering vasculitis in the setting of neuropathy even in the absence of space-occupying lesion.https://www.acpjournals.org/doi/10.7326/aimcc.2023.1078
spellingShingle Alexis Trujillo
David B. Jackson
Jonathon Coy
Chau Tran
Jacob Imber
Isolated Cranial Nerve VI Palsy in Granulomatosis With Polyangiitis
Annals of Internal Medicine: Clinical Cases
title Isolated Cranial Nerve VI Palsy in Granulomatosis With Polyangiitis
title_full Isolated Cranial Nerve VI Palsy in Granulomatosis With Polyangiitis
title_fullStr Isolated Cranial Nerve VI Palsy in Granulomatosis With Polyangiitis
title_full_unstemmed Isolated Cranial Nerve VI Palsy in Granulomatosis With Polyangiitis
title_short Isolated Cranial Nerve VI Palsy in Granulomatosis With Polyangiitis
title_sort isolated cranial nerve vi palsy in granulomatosis with polyangiitis
url https://www.acpjournals.org/doi/10.7326/aimcc.2023.1078
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