Steroid refractory giant cell arteritis with bilateral vertebral artery occlusion and middle cerebellar peduncle infarction.
J R Coll Physicians Edinb
; 49(2): 118-121, 2019 Jun.
Article
em En
| MEDLINE
| ID: mdl-31188339
ABSTRACT
Giant cell arteritis is the most common primary systemic vasculitis in adults aged ≥50 years and peaks in the eighth decade of life. Common symptoms include headache, scalp tenderness and jaw claudication. Elevated acute phase reactants (erythrocyte sedimentation rate and C-reactive protein) are present in >90% of patients. Visual loss is a well-recognised complication, but approximately 2-4% of giant cell arteritis patients experience stroke, most frequently in the vertebrobasilar territory. We describe a 72-year-old male who developed bilateral vertebral artery occlusion and middle cerebellar peduncle infarction secondary to giant cell arteritis in spite of high-dose steroids.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Arterite de Células Gigantes
/
Insuficiência Vertebrobasilar
/
Metilprednisolona
/
Anti-Inflamatórios
Tipo de estudo:
Etiology_studies
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
J R Coll Physicians Edinb
Assunto da revista:
EDUCACAO
/
HISTORIA DA MEDICINA
/
MEDICINA
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Reino Unido