Arteritis de células gigantes en el sistema vertebrobasilar, isquemias cerebelo-occipitales y parálisis III par. Caso clínico
| Autor: | Roberto Marileo Z., Luis Cartier R, Francisca Montoya S., Del Canto A. Adolfo |
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| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Visual acuity Giant Cell Arteritis Neurological examination 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Oculomotor Nerve Prednisone medicine Paralysis Vertebral Artery medicine.diagnostic_test business.industry Magnetic resonance imaging General Medicine medicine.disease Temporal Arteries Stroke Giant cell arteritis Radiology medicine.symptom Headaches business Vasculitis 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Revista médica de Chile v.146 n.11 2018 SciELO Chile CONICYT Chile instacron:CONICYT |
| Popis: | Giant cell arteritis is the most common vasculitis in patients aged over 50 years. We report an 89-year-old woman with significant weight loss and persistent frontal-occipital headaches lasting two months. The neurological examination at admission identified a decrease in visual acuity of the left eye, paralysis of the third cranial nerve of the right eye and alterations of body motility without objective signs of damage of the motor or sensitive pathways. Magnetic resonance imaging showed changes of the temporal artery wall and in both vertebral arteries, as well as bilateral cerebellar and occipital ischemic lesions. The Doppler ultrasound of the temporal arteries was compatible with Giant cell arteritis. Treatment with steroids was started. While receiving oral prednisone, the patient suffered new infarcts of the posterior territory, documented with a CAT scan. |
| Databáze: | OpenAIRE |
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