Naslov
Gigantocellular arteritis of the vertebral arteries as a cause of ishemic stroke
(Gigantocelularni arteritis vertebralnih arterija kao uzrok moždanog udara)

Autori
Gašparić, Irena ; Gašparić, Sandra ; Gotovac, Nikola ; Šantak, Goran

Izvornik
Medica Jadertina (0351-0093) 45 (2015), 3-4; 135-138

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni

Ključne riječi
gigantocellular arteritis ; stroke ; vertebral arteries
(gigantocelularni arteritis ; moždani udar ; vertebralne arterije)

Sažetak
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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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