Wegener Granulomatosis Invading the Cavernous Sinus

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Abstract
A case of localized cranial Wegener granulomatosis was imaged with high resolution computed tomography. The mass extended from the in-fratemporal fossa, through the basal foramina, and into the cavernous sinus, causing complete occlusion of the internal carotid artery. Computed tomography demonstrated absence of bone destruction and a normal parotid gland and nasopharynx. Although uncommon, Wegener granulomatosis should be considered in the differential diagnosis of a parapharyngeal mass with intracranial extension.

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