Literature DB >> 27055655

[Brain stem infarction, temporal headache, and elevated inflammatory parameters in a 74-year-old man].

M Gehlen1,2, M Schwarz-Eywill3, N Schäfer3, A Pfeiffer3, H Bösenberg3, A Maier4, C Hinz5.   

Abstract

We report the case of a 74 year old man with a brain stem infarction, temporal headache and elevated inflammatory parameters. Giant cell arteritis with involvement of the temporal and vertebral arteries was proven by histology, duplex sonography and MRI. Although intensive immunosuppressive therapy was started, the patient developed two brain infarcts within 6 months. Initially, C‑reactive protein and erythrocyte sedimentation rate were significantly elevated, but normalized over time. Involvement of the vertebral artery in giant cell arteritis is thought to be rare; steroid refractory courses are very rare. Brain stem infarction might be the consequence.

Entities:  

Keywords:  Duplex sonography; Medulla oblongata; Prednisolone; Steroid-refractory giant cell arteritis; Vertebral artery

Mesh：

Substances：

Year:  2016        PMID： 27055655     DOI： 10.1007/s00108-016-0045-7

Source DB:  PubMed          Journal:  Internist (Berl)        ISSN： 0020-9554            Impact factor:   0.743


  9 in total

Review 1.  Does glucocorticosteroid-resistant large-vessel vasculitis (giant cell arteritis and Takayasu arteritis) exist and how can remission be achieved? A critical review of the literature.

Authors:  Ina Kötter; Jörg C Henes; Annette D Wagner; Jan Loock; Wolfgang L Gross
Journal:  Clin Exp Rheumatol       Date:  2012-05-11       Impact factor: 4.473

2.  Color duplex ultrasonography in the diagnosis of temporal arteritis.

Authors:  W A Schmidt; H E Kraft; K Vorpahl; L Völker; E J Gromnica-Ihle
Journal:  N Engl J Med       Date:  1997-11-06       Impact factor: 91.245

3.  Vertebral artery halo sign in patients with stroke: a key clue for the prompt diagnosis of giant cell arteritis.

Authors:  Jorge García-García; Óscar Ayo-Martín; Lucía Argandoña-Palacios; Tomas Segura
Journal:  Stroke       Date:  2011-09-22       Impact factor: 7.914

Review 4.  The diagnosis and treatment of giant cell arteritis.

Authors:  Thomas Ness; Thorsten A Bley; Wolfgang A Schmidt; Peter Lamprecht
Journal:  Dtsch Arztebl Int       Date:  2013-05-24       Impact factor: 5.594

5.  Vertebral arteries: a target for FDG-PET imaging in giant cell arteritis? Clinical, ultrasonographic and PET study in 46 patients.

Authors:  K Pfadenhauer; J Weinerth; C Hrdina
Journal:  Nuklearmedizin       Date:  2010-11-09       Impact factor: 1.379

6.  Giant cell arteritis causing symmetric bilateral posterior circulation infarcts.

Authors:  Devin D Mackay; Graham R Huesmann; Roseann I Wu; James R Stone; Misha L Pless
Journal:  J Clin Rheumatol       Date:  2013-10       Impact factor: 3.517

7.  Characteristics of cerebrovascular accidents at time of diagnosis in a series of 98 patients with giant cell arteritis.

Authors:  Thierry Zenone; Marie Puget
Journal:  Rheumatol Int       Date:  2013-07-20       Impact factor: 2.631

Review 8.  Bilateral vertebral artery occlusion resulting from giant cell arteritis: report of 3 cases and review of the literature.

Authors:  Stephan Rüegg; Stefan Engelter; Christine Jeanneret; Andreas Hetzel; Alphonse Probst; Andreas J Steck; Philippe Lyrer
Journal:  Medicine (Baltimore)       Date:  2003-01       Impact factor: 1.889

Review 9.  Immune mechanisms in medium and large-vessel vasculitis.

Authors:  Cornelia M Weyand; Jörg J Goronzy
Journal:  Nat Rev Rheumatol       Date:  2013-11-05       Impact factor: 20.543
  9 in total

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