Intracranial Internal Carotid Artery Angioplasthy and Stenting in Giant Cell Arteritis

被引：16

作者：

Mendez Guerrero, Antonio ^{[1
]}

Sierra-Hidalgo, Fernando ^{[1
,2
]}

Calleja, Patricia ^{[1
]}

Navia, Pedro ^{[3
]}

Campollo, Jorge ^{[3
]}

Diaz-Guzman, Jaime ^{[1
]}

机构：

[1] Hosp Univ 12 Octubre, Dept Neurol, Stroke Unit, Madrid, Spain

[2] Inst Invest Hosp 12 Octubre I 12, Madrid, Spain

[3] Hosp Univ 12 Octubre, Intervent Neuroradiol Unit, Madrid, Spain

来源：

JOURNAL OF NEUROIMAGING | 2015年 / 25卷 / 02期

关键词：

Giant cell arteritis; intracranial stenosis; endovascular therapy; stroke; INVOLVEMENT; BIOPSY;

D O I：

10.1111/jon.12116

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We report the case of a 59-year-old woman who presented with several episodes of transient ischemic attack (TIA) caused by pathologically confirmed giant cell arteritis. She continued suffering from TIAs during admission despite immunosuppressant and antithrombotic therapy. Sudden neurological deterioration with paraparesis and cognitive impairment developed. A brain magnetic resonance (MR) imaging showed bilateral watershed ischemic lesions. MR angiography demonstrated severe stenosis of both intracranial internal carotid arteries (ICAs). Angioplasty and stenting on the left ICA were performed, with evident clinical improvement occurring within 24 hours. Endovascular therapy may be an alternative option to treat severe GCA with symptomatic intracranial large vessel disease not responsive to intensive conventional medical treatment.

引用

页码：307 / 309

页数：3

共 11 条

[1] Giant cell arteritis with severe bilateral involvement of the intracranial arteries
Carra-Dalliere, Clarisse
de Champfleur, Nicolas Menjot
Heroum, Cherif
Bonafe, Alain
Arquizan, Caroline
[J]. JOURNAL OF NEURORADIOLOGY, 2014, 41 (02) : 144 - 147
[2] NEUROLOGIC DISEASE IN BIOPSY-PROVEN GIANT-CELL (TEMPORAL) ARTERITIS
CASELLI, RJ
HUNDER, GG
WHISNANT, JP
[J]. NEUROLOGY, 1988, 38 (03) : 352 - 359
[3] Bilateral intracerebral angioplasty in a patient with stroke caused by giant cell arteritis
Chausson, N.
Olindo, S.
Signate, A.
Cohen-Tenoudji, P.
Aveillan, M.
Saint-Vil, M.
Smadja, D.
[J]. REVUE NEUROLOGIQUE, 2010, 166 (03) : 328 - 332
[4] Angioplasty and stent placement for complete occlusion of the vertebral artery secondary to giant cell arteritis
Dementovych, Nataliya
Mishra, Richa
Shah, Qaisar A.
[J]. JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2012, 4 (02) : 110 - 113
[5] González-Gay MA, 1998, ARTHRITIS RHEUM, V41, P1497, DOI 10.1002/1529-0131(199808)41:8<1497::AID-ART22>3.0.CO
[6] 2-Z
[7] Biopsy-negative giant cell arteritis: Clinical spectrum and predictive factors for positive temporal artery biopsy
Gonzalez-Gay, MA
Garcia-Porrua, C
Llorca, J
Gonzalez-Louzao, C
Rodriguez-Ledo, P
[J]. SEMINARS IN ARTHRITIS AND RHEUMATISM, 2001, 30 (04) : 249 - 256
[8] MISSEN GA, 1972, J PATHOL, V106, P2
[9] Risk factors for cranial ischemic complications in giant cell arteritis
Nesher, G
Berkun, Y
Mates, M
Baras, M
Nesher, R
Rubinow, A
Sonnenblick, M
[J]. MEDICINE, 2004, 83 (02) : 114 - 122
[10] Giant cell arteritis: Involvement of intracranial arteries
Salvarani, Carlo
Giannini, Caterina
Miller, Dylan V.
Hunder, Gene
[J]. ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH, 2006, 55 (06): : 985 - 989

← 1 2 →