Giant Cell Arteritis with Internal Carotid Artery Occlusion in the Absence of Typical Clinical Features

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 w...

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Autores principales: Kikumoto, Mai, Aoki, Shiro, Shiga, Yuji, Kinoshita, Naoto, Nezu, Tomohisa, Ueno, Hiroki, Arihiro, Koji, Maruyama, Hirofumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8112973/
https://www.ncbi.nlm.nih.gov/pubmed/33229803
http://dx.doi.org/10.2169/internalmedicine.5592-20
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author Kikumoto, Mai
Aoki, Shiro
Shiga, Yuji
Kinoshita, Naoto
Nezu, Tomohisa
Ueno, Hiroki
Arihiro, Koji
Maruyama, Hirofumi
author_facet Kikumoto, Mai
Aoki, Shiro
Shiga, Yuji
Kinoshita, Naoto
Nezu, Tomohisa
Ueno, Hiroki
Arihiro, Koji
Maruyama, Hirofumi
author_sort Kikumoto, Mai
collection PubMed
description 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.
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spelling pubmed-81129732021-05-18 Giant Cell Arteritis with Internal Carotid Artery Occlusion in the Absence of Typical Clinical Features Kikumoto, Mai Aoki, Shiro Shiga, Yuji Kinoshita, Naoto Nezu, Tomohisa Ueno, Hiroki Arihiro, Koji Maruyama, Hirofumi Intern Med Case Report 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. The Japanese Society of Internal Medicine 2020-11-23 2021-04-15 /pmc/articles/PMC8112973/ /pubmed/33229803 http://dx.doi.org/10.2169/internalmedicine.5592-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kikumoto, Mai
Aoki, Shiro
Shiga, Yuji
Kinoshita, Naoto
Nezu, Tomohisa
Ueno, Hiroki
Arihiro, Koji
Maruyama, Hirofumi
Giant Cell Arteritis with Internal Carotid Artery Occlusion in the Absence of Typical Clinical Features
title Giant Cell Arteritis with Internal Carotid Artery Occlusion in the Absence of Typical Clinical Features
title_full Giant Cell Arteritis with Internal Carotid Artery Occlusion in the Absence of Typical Clinical Features
title_fullStr Giant Cell Arteritis with Internal Carotid Artery Occlusion in the Absence of Typical Clinical Features
title_full_unstemmed Giant Cell Arteritis with Internal Carotid Artery Occlusion in the Absence of Typical Clinical Features
title_short Giant Cell Arteritis with Internal Carotid Artery Occlusion in the Absence of Typical Clinical Features
title_sort giant cell arteritis with internal carotid artery occlusion in the absence of typical clinical features
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8112973/
https://www.ncbi.nlm.nih.gov/pubmed/33229803
http://dx.doi.org/10.2169/internalmedicine.5592-20
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