Bouthouri Abir, Mansour Malek, Zaouali Jamel, Mrissa Ridha
Wegener’s granulomatosis(WG) is a systemic necrotising granulomatous vasculitis. The central nervous system(CNS) manifestations are rare. A 49-year-old man, presented with sudden onset of left-sided weakness. Physical examination revealed pyramidal syndrome with left-sided hemiparesis, right kinetic cerebellar syndrome and right Horner syndrome. Examination of the cardiovascular system was normal. Skin examination showed vitiligo lesions affecting the perioral region.