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Case Reports
. 2022 Mar 20;10(3):e05597.
doi: 10.1002/ccr3.5597. eCollection 2022 Mar.

Giant cell arteritis with rare manifestations of stroke and internal carotid artery dissection: A case study

Affiliations
Case Reports

Giant cell arteritis with rare manifestations of stroke and internal carotid artery dissection: A case study

Leila Hashami et al. Clin Case Rep. .

Abstract

Giant cell arthritis is a systemic vasculitis. A 51-year-old man was presented with sudden onset of right-side blurred vision, frozen movements, and ptosis in the right eye and left side paresis. The diagnosis of GCA with first manifestations of stroke and carotid dissection may be neglected as an underlying cause.

Keywords: case report; cerebrovascular accident; giant cell arthritis; internal carotid artery dissection; stroke.

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Conflict of interest statement

None.

Figures

FIGURE 1
FIGURE 1
Diffusion‐weighted brain magnetic resonance imaging showing watershed infarct in the right hemisphere
FIGURE 2
FIGURE 2
Magnetic resonance angiography showing occluded right proximal internal carotid artery
FIGURE 3
FIGURE 3
Right carotid artery dissection on contrast‐enhanced MR angiography (CE‐MRA) (a) and CTA (b & c). Carotid artery dissection is characterized by a narrowed eccentric flow void, which is surrounded by a crescent‐shaped, hyperintense mural hematoma expanding the outer vessel diameter

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