Cargando…

Stroke secondary to giant-cell arteritis: A literature review

Stroke is a leading cause of death and disability worldwide. In addition to the classical etiologies of stroke as atherosclerosis and cardioembolism there are many unusual, rare causes, which require a high level of clinical suspicion and further investigations for correct and early diagnosis and ad...

Descripción completa

Detalles Bibliográficos
Autores principales: Bajko, Zoltan, Balasa, Rodica, Maier, Smaranda, Motataianu, Anca, Barcutean, Laura, Andone, Sebastian, Stoian, Adina, Filep, Rares Cristian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: D.A. Spandidos 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8237390/
https://www.ncbi.nlm.nih.gov/pubmed/34194554
http://dx.doi.org/10.3892/etm.2021.10308
_version_ 1783714717904142336
author Bajko, Zoltan
Balasa, Rodica
Maier, Smaranda
Motataianu, Anca
Barcutean, Laura
Andone, Sebastian
Stoian, Adina
Filep, Rares Cristian
author_facet Bajko, Zoltan
Balasa, Rodica
Maier, Smaranda
Motataianu, Anca
Barcutean, Laura
Andone, Sebastian
Stoian, Adina
Filep, Rares Cristian
author_sort Bajko, Zoltan
collection PubMed
description Stroke is a leading cause of death and disability worldwide. In addition to the classical etiologies of stroke as atherosclerosis and cardioembolism there are many unusual, rare causes, which require a high level of clinical suspicion and further investigations for correct and early diagnosis and adequate treatment. Giant-cell arteritis or temporal arteritis, the most frequent vasculitis in the elderly population is one of the uncommon causes of stroke. In the setting of giant-cell arteritis, stroke more likely affects the vertebrobasilar territory and is the main cause of mortality. Duplex ultrasound examination is a routine investigation for stroke patients and may be key to the diagnosis if the classical hypoechoic ‘halo sign’ is recognized at the level of vertebral arteries. In this situation the ultrasound evaluation of temporal arteries and temporal artery biopsy are mandatory. The Giant-cell arteritis-related stroke is a rare condition; therefore, there are no evidence-based guidelines or standard recommendations for the treatment. In the present review, the main characteristics of giant-cell arteritis-related stroke are discussed.
format Online
Article
Text
id pubmed-8237390
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher D.A. Spandidos
record_format MEDLINE/PubMed
spelling pubmed-82373902021-06-29 Stroke secondary to giant-cell arteritis: A literature review Bajko, Zoltan Balasa, Rodica Maier, Smaranda Motataianu, Anca Barcutean, Laura Andone, Sebastian Stoian, Adina Filep, Rares Cristian Exp Ther Med Articles Stroke is a leading cause of death and disability worldwide. In addition to the classical etiologies of stroke as atherosclerosis and cardioembolism there are many unusual, rare causes, which require a high level of clinical suspicion and further investigations for correct and early diagnosis and adequate treatment. Giant-cell arteritis or temporal arteritis, the most frequent vasculitis in the elderly population is one of the uncommon causes of stroke. In the setting of giant-cell arteritis, stroke more likely affects the vertebrobasilar territory and is the main cause of mortality. Duplex ultrasound examination is a routine investigation for stroke patients and may be key to the diagnosis if the classical hypoechoic ‘halo sign’ is recognized at the level of vertebral arteries. In this situation the ultrasound evaluation of temporal arteries and temporal artery biopsy are mandatory. The Giant-cell arteritis-related stroke is a rare condition; therefore, there are no evidence-based guidelines or standard recommendations for the treatment. In the present review, the main characteristics of giant-cell arteritis-related stroke are discussed. D.A. Spandidos 2021-08 2021-06-15 /pmc/articles/PMC8237390/ /pubmed/34194554 http://dx.doi.org/10.3892/etm.2021.10308 Text en Copyright: © Bajko et al. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
spellingShingle Articles
Bajko, Zoltan
Balasa, Rodica
Maier, Smaranda
Motataianu, Anca
Barcutean, Laura
Andone, Sebastian
Stoian, Adina
Filep, Rares Cristian
Stroke secondary to giant-cell arteritis: A literature review
title Stroke secondary to giant-cell arteritis: A literature review
title_full Stroke secondary to giant-cell arteritis: A literature review
title_fullStr Stroke secondary to giant-cell arteritis: A literature review
title_full_unstemmed Stroke secondary to giant-cell arteritis: A literature review
title_short Stroke secondary to giant-cell arteritis: A literature review
title_sort stroke secondary to giant-cell arteritis: a literature review
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8237390/
https://www.ncbi.nlm.nih.gov/pubmed/34194554
http://dx.doi.org/10.3892/etm.2021.10308
work_keys_str_mv AT bajkozoltan strokesecondarytogiantcellarteritisaliteraturereview
AT balasarodica strokesecondarytogiantcellarteritisaliteraturereview
AT maiersmaranda strokesecondarytogiantcellarteritisaliteraturereview
AT motataianuanca strokesecondarytogiantcellarteritisaliteraturereview
AT barcuteanlaura strokesecondarytogiantcellarteritisaliteraturereview
AT andonesebastian strokesecondarytogiantcellarteritisaliteraturereview
AT stoianadina strokesecondarytogiantcellarteritisaliteraturereview
AT fileprarescristian strokesecondarytogiantcellarteritisaliteraturereview