Giant Cell Arteritis with Internal Carotid Artery Occlusion in the Absence of Typical Clinical Features
| Autor: | Naoto Kinoshita, Hirofumi Maruyama, Hiroki Ueno, Shiro Aoki, Tomohisa Nezu, Yuji Shiga, Koji Arihiro, Mai Kikumoto |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty contrast-enhanced MRI Biopsy Contrast Media Case Report Gadolinium 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Occlusion Internal Medicine medicine Humans cardiovascular diseases Stroke Aged Aspirin medicine.diagnostic_test business.industry giant cell arteritis Clinical course Magnetic resonance imaging General Medicine medicine.disease internal carotid artery occlusion stroke Temporal Arteries Jaw claudication Giant cell arteritis cardiovascular system 030211 gastroenterology & hepatology Internal carotid artery occlusion Radiology business Carotid Artery Internal medicine.drug |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| Popis: | A 65-year-old man presented with a slight headache and transient visual disturbance. Magnetic resonance imaging (MRI) revealed occlusion of the left internal carotid artery (ICA) and acute brain infarctions in both hemispheres, and a blood examination indicated inflammation. Gadolinium enhancement was observed in the walls of the temporal arteries and ICAs. After we diagnosed giant cell arteritis (GCA) by a temporal artery biopsy, aspirin and corticosteroids were administered. The typical symptoms of GCA, such as jaw claudication and temporal artery tenderness, were absent during the entire clinical course, and the findings of contrast-enhanced MRI contributed to the diagnosis. |
| Databáze: | OpenAIRE |
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