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Case Reports
. 2021 Dec;11(6):e965-e967.
doi: 10.1212/CPJ.0000000000001083.

Progressive and Fatal Brainstem Stroke in Systemic Giant Cell Arteritis

Valentina Poretto  1 , Silvio Piffer  1 , Valeria Bignamini  1 , Enzo Tranquillini  1 , Davide Donner  1 , Francesco Paolo Cavatorta  1 , Mattia Barbareschi  1 , Benedetto Petralia  1 , Bruno Giometto  1
Affiliations
Case Reports

Progressive and Fatal Brainstem Stroke in Systemic Giant Cell Arteritis

Valentina Poretto et al. Neurol Clin Pract. 2021 Dec.
No abstract available

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Figures

Figure 1
Figure 1. Diffusion-Weighted Imaging (DWI), Magnetic Resonance Angiography (MRA), and Digital Subtraction Angiography (DSA)
DWI shows cerebellar infarctions (A). Time-of-flight MRA shows neither left vertebral nor basilar arteries (B). Contrast-enhanced MRA shows occlusion long extracranial VAs, regular intracranial VAs, and BA (C). DSA shows collateral between right external carotid and VA (D.a–E.c). BA = basilar artery; VA = vertebral artery.
Figure 2
Figure 2. Duplex Sonography, Superficial Temporal Artery Biopsy (STAb), Fluorine-18-Fluorodeoxyglucose ([18F]-FDG) PET-CT
Facial artery duplex sonography shows hypoechoic halo (A.a), disappeared after therapy (A.b). STAb after 11-day-therapy shows intimal thickening and elastic lamina fragmentation (B.a, B.b). PET-CT shows [18F]-FDG uptake in vertebral artery, subclavian artery, iliac artery, and thoracic aorta (C–F).
See this image and copyright information in PMC

References

    1. Hunder GG, Bloch DA, Michel BA, et al. . The American College of Rheumatology 1990 criteria for the classification of giant cell arteritis. Arthritis Rheum. 1990;33(8):1122-1128. doi:10.1002/art.1780330810. - DOI - PubMed
    1. Buttgereit F, Dejaco C, Matteson EL, Dasgupta B. Polymyalgia rheumatica and giant cell arteritis: a systematic review. JAMA. 2016;315(22):2442-2458. doi:10.1001/jama.2016.5444. - DOI - PubMed

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