Bilateral vertebral artery occlusion without headache in giant cell arteritis
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چکیده
منابع مشابه
Bilateral vertebral artery occlusion without headache in giant cell arteritis
Giant cell arteritis (GCA) is well-recognized as an important cause of headache in the elderly. It is also an important element of the differential diagnosis for patients with transient or permanent visual loss. Delay in diagnosis of GCA can lead to blindness. Therefore, clinicians should be alert to atypical presentations in which headache is either not prominent or absent. We present a patien...
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Fabian Proft1*#, Michael Czihal2#, Jan Rémi3, Gunther Fesl4, Christine Woischke5 and Hendrik Schulze-Koops1 1Division of Rheumatology and Clinical Immunology, Department of Medicine IV, Ludwig Maximilians University Munich, Munich, Germany 2Medical Clinic and Policlinic IV, Division of Vascular Medicine, Ludwig Maximilians University Hospital, Germany 3Department of Neurology, Ludwig Maximilian...
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Accessible online at: www.karger.com/ene Fig. 1. Initial cervical MRA revealing severe stenosis of both vertebral arteries (left). Following steroids, significant repermeabilization of the vertebral arteries (middle, right). The level of stenosis is identical in both arteries and corresponds to the junction between the intracranial and extracranial portions. Fig. 2. Sagittal T 2 -weighted MRI r...
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Giant cell arteritis (GCA) is the most common form of systemic vasculitis in adults. Patients usually present with headache and visual symptoms, and have an elevated erythrocyte sedimentation rate. It has been reported that 3-4% of patients with GCA develop ischemic events secondary to vertebral artery stenosis or occlusion. The mainstay of therapy of GCA is high dose steroid and/or methotrexat...
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ژورنال
عنوان ژورنال: Neurology - Neuroimmunology Neuroinflammation
سال: 2016
ISSN: 2332-7812
DOI: 10.1212/nxi.0000000000000268