Your browser doesn't support javascript.
loading
Arteritis de células gigantes en el sistema vertebrobasilar, isquemias cerebelo-occipitales y parálisis III par: caso clínico / Giant cell arteritis of the vertebrobasilar system, posterior ischemia and palsy of the third nerve: report of one case
Adolfo, Del Canto A; Montoya S, Francisca; Marileo Z, Roberto; Cartier R, Luis.
  • Adolfo, Del Canto A; Universidad de Chile. Facultad de Medicina. Departamento de Ciencias Neurológicas Oriente. Santiago. CL
  • Montoya S, Francisca; Instituto de Neurocirugía Dr Asenjo. Unidad de Neurorradiología. Santiago. CL
  • Marileo Z, Roberto; Instituto de Neurocirugía Dr Asenjo. Unidad de Neurorradiología. Santiago. CL
  • Cartier R, Luis; Universidad de Chile. Facultad de Medicina. Departamento de Ciencias Neurológicas Oriente. Santiago. CL
Rev. méd. Chile ; 146(11): 1356-1360, nov. 2018. graf
Article in Spanish | LILACS | ID: biblio-985711
Responsible library: CL1.1
ABSTRACT
Giant cell arteritis is the most common vasculitis in patients aged over 50 years. We report an 89-year-old woman with significant weight loss and persistent frontal-occipital headaches lasting two months. The neurological examination at admission identified a decrease in visual acuity of the left eye, paralysis of the third cranial nerve of the right eye and alterations of body motility without objective signs of damage of the motor or sensitive pathways. Magnetic resonance imaging showed changes of the temporal artery wall and in both vertebral arteries, as well as bilateral cerebellar and occipital ischemic lesions. The Doppler ultrasound of the temporal arteries was compatible with Giant cell arteritis. Treatment with steroids was started. While receiving oral prednisone, the patient suffered new infarcts of the posterior territory, documented with a CAT scan.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Giant Cell Arteritis / Basilar Artery / Vertebral Artery / Oculomotor Nerve Diseases / Brain Ischemia / Oculomotor Nerve Type of study: Case report Limits: Aged / Female / Humans Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2018 Type: Article Affiliation country: Chile Institution/Affiliation country: Instituto de Neurocirugía Dr Asenjo/CL / Universidad de Chile/CL

Full text: Available Index: LILACS (Americas) Main subject: Giant Cell Arteritis / Basilar Artery / Vertebral Artery / Oculomotor Nerve Diseases / Brain Ischemia / Oculomotor Nerve Type of study: Case report Limits: Aged / Female / Humans Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2018 Type: Article Affiliation country: Chile Institution/Affiliation country: Instituto de Neurocirugía Dr Asenjo/CL / Universidad de Chile/CL