Temporal Artery Biopsy
| Autor: | Craig N. Czyz, Daniel Straka |
|---|---|
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Operative Dictations in Ophthalmology ISBN: 9783030530570 Operative Dictations in Ophthalmology ISBN: 9783319454948 |
| DOI: | 10.1007/978-3-030-53058-7_162 |
| Popis: | Giant cell arteritis (also known as temporal arteritis) is a condition that causes a granulomatous inflammation of medium to large-sized arteries. Patients most commonly present to the ophthalmologist due to acute or subacute vision loss often with headache. The vision loss occurs due to an ischemic optic neuropathy. The gold standard for diagnosis is a pathologic specimen showing the classic histological findings within the artery wall (transmural inflammatory infiltrate, giant cells, fragmented internal elastic lamina). The superficial temporal artery is the most common vessel affected and since it is surgically accessible it is frequently targeted for diagnostic purposes. A large specimen, generally 2–3 cm, should be obtained. Patients should have been evaluated and deemed appropriate for such surgical intervention. Patients should have been educated about the risks and benefits of the procedure, including alternatives. |
| Databáze: | OpenAIRE |
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