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Neurology CP: a case of giant cell arteritis

 Last Update: 2022-01-23
 Source: Internet
 Author: User

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74 years old, female
.

Acute deterioration due to dizziness and postural instability for 6 months
.

MRI showed acute infarction of the cerebellum and brainstem
.

Neurovascular assessment revealed severe vascular damage with multiple stenoses and occlusions along the vertebrobasilar artery (Figure 1)

Figure 1.
DWI showing cerebellar infarction (A)
.

The left vertebral and basilar arteries were not visualized on TOF MRA (B)

Figure 1.

Figure 2.
Doppler ultrasound of the facial artery shows a hypoechoic halo (Aa) that disappears after treatment (Ab)
.

STAb after 11 days of treatment showed intimal thickening and fragmentation of the elastic lamina (Ba, Bb)

Figure 2.

Original source:

Valentina Poretto, Silvio Piffer, Valeria Bignamini, et al.

Progressive and Fatal Brainstem Stroke in Systemic Giant Cell Arteritis Leave a Comment

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