engleski

Gigantocelularni arteritis vertebralnih arterija kao uzrok moždanog udara

Gigantocellular arteritis, temporal arteritis or Horton’s arteritis is a systemic vasculitis and a chronic inflammatory disease of large and medium- sized blood vessels, especially the temporal arteries, the extracranial part of the carotid arteries, the thoracic and the abdominal arteries. Bilateral vertebral artery occlusion is a rare and serious manifestation of gigantocellular arteritis. The paper reviews the case of a patient hospitalized three weeks after the onset of neurological symptoms, headache, vertigo, gait instability and sight loss. Pathological laboratory tests indicated erythrocyte sedimentation rate, elevated C- Reactive Protein, fibrinogen, thrombocytosis and leukocytosis. Clinical presentations, the course of the disease and a bilateral infarction of the posterior circulation confirmed by a brain computerized tomography scan, indicated possible cerebral arteritis, therefore corticosteroid therapy was introduced. The disease was complicated by the development of pneumonia, resulting in the death of the patient. A diagnosis gigantocellular arteritis of the vertebral arteries was definitely confirmed through autopsy and pathohistological analysis.

gigantocelularni arteritis ; moždani udar ; vertebralne arterije

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