Isolated Bilateral Internal Carotid Artery Stenosis and Recurrent Ischemic Strokes in a Patient with Suspected Giant Cell Arteritis
| Autor: | Kai Wohlfarth, Ingmar Kaden, Clemens Oerding |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
cranial arteritis
medicine.medical_specialty Hemodynamics Cerebral Revascularization Disease cerebral revascularization vasculitis lcsh:RC346-429 vessel stenosis 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Tocilizumab Internal medicine medicine ischemic stroke 030212 general & internal medicine cardiovascular diseases skin and connective tissue diseases lcsh:Neurology. Diseases of the nervous system business.industry giant cell arteritis medicine.disease Giant cell arteritis Stenosis chemistry Cardiology Horton's disease temporal arteritis Methotrexate Neurology (clinical) horton’s disease Vasculitis business internal carotid artery stenosis 030217 neurology & neurosurgery medicine.drug Single Case − General Neurology |
| Zdroj: | Case Reports in Neurology, Vol 12, Iss 1, Pp 84-91 (2020) Case Reports in Neurology |
| Popis: | Giant cell arteritis (GCA) is a common type of vasculitis and may present various forms. Ischemic stroke is one of the complications and sometimes the first symptom of this disease. We want to present the case of a 58-year-old female patient with suspected GCA who suffered from recurrent ischemic strokes due to progressive stenosis of the internal carotid arteries. This site of manifestation is rare but indicative of GCA. The patient was first treated with corticosteroids and methotrexate later with tocilizumab. Facing progressive hemodynamic impairment, an extra-intracranial-bypass-surgery was performed. Although inflammatory activity was reduced, new strokes occurred. |
| Databáze: | OpenAIRE |
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