THE CASE OF THE GIANT-CELL ARTERITIS MANIFESTED AS DORSOLATERAL MEDULLARY INFARCTION
https://doi.org/10.14412/1995-4484-2014-578-581
Abstract
The case of a giant-cell arteritis is presented. First clinical signs of the disease were fewer and development of infarction in the basin of the left vertebral artery. Magnetic resonance angiography showed its prolonged diminution. Laboratory results were remarkable for the high rate of erythrocyte sedimentation and the increase of C-reactive protein (CRP) concentration. Physical examination revealed acrotism in temporal arteries. Diagnosis was proven by biopsy results which included giant multinucleate cells. Authors discuss problems of diagnosis of the disease, the role of radiological methods (angio-ultrasonography, magnetic resonance and computed tomography aided angiography, positron-emission tomography) and the necessity to pay particular attention to the elderly patients with high rate of erythrocyte sedimentation and the increased CRP concentration.
About the Authors
V. S. Akimov
CJSC «European Medical Center», Moscow, Russia
Russian Federation
Russian Federation
M. A. Ivory
CJSC «European Medical Center», Moscow, Russia
Russian Federation
Russian Federation
S. V. Lishchuk
CJSC «European Medical Center», Moscow, Russia
Russian Federation
Russian Federation
E. V. Zhilyaev
CJSC «European Medical Center», Moscow, Russia
Russian Federation
Russian Federation
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Review
For citations:
Akimov V.S., Ivory M.A., Lishchuk S.V., Zhilyaev E.V. THE CASE OF THE GIANT-CELL ARTERITIS MANIFESTED AS DORSOLATERAL MEDULLARY INFARCTION. Rheumatology Science and Practice. 2014;52(5):578-581. (In Russ.) https://doi.org/10.14412/1995-4484-2014-578-581
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