Carotid Artery Stenosis and ischemic Strokes in Patients with Giant Cell Arteritis A characteristic Pattern - Literature Review and Case Report

Purpose: Ischemic stroke is a relatively rare complication of giant cell arteritis often accompanied by vessel stenosis. Our purpose was to compare the location of internal carotid artery stenosis in GCA patients by performing a literature review suggesting a specific and characteristic pattern. Me...

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Autores principales:	Clemens Oerding, Frank Uhlmann, Ingmar Kaden, Johannes Wollmann, Kai Wohlfarth
Formato:	article
Lenguaje:	EN
Publicado:	Georg Thieme Verlag KG 2021
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/13f1f942728e4305bb5559a2f63eae46
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spelling	oai:doaj.org-article:13f1f942728e4305bb5559a2f63eae462021-11-24T00:01:55ZCarotid Artery Stenosis and ischemic Strokes in Patients with Giant Cell Arteritis A characteristic Pattern - Literature Review and Case Report2512-946510.1055/a-1704-0741https://doaj.org/article/13f1f942728e4305bb5559a2f63eae462021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/a-1704-0741https://doaj.org/toc/2512-9465Purpose: Ischemic stroke is a relatively rare complication of giant cell arteritis often accompanied by vessel stenosis. Our purpose was to compare the location of internal carotid artery stenosis in GCA patients by performing a literature review suggesting a specific and characteristic pattern. Methods: We performed a Pubmed research including all articles and cited articles reporting cases and case series about giant cell arteritis patients with internal carotid artery stenosis and ischemic strokes. Results: In this case series 39 cases were included. We found a clear tendency of giant cell arteritis related stenosis to be in the intracranial segments (35/39 (89,7 %)). Only in 8/39 (20,5 %) patients there was further involvement of extracranial segments. Many cases (27/39 (69,2 %)) showed a bilateral involvement. Discussion: This literature review reveals a specific pattern of internal carotid artery involvement in patients with giant cell arteritis and ischemic strokes. To our knowledge this pattern has not been reported as a sign strongly pointing towards giant cell arteritis before. We have not found case reports mentioning other common types of vasculitis reporting this involvement pattern. Conclusion: Internal carotid artery stenosis and ischemic stroke is a rare complication in patients with giant cell arteritis. Considering the characteristic features of bilateral distal internal carotid artery stenosis giant cell arteritis should be suspected which potentially leads to an early diagnosis and immunotherapy.Clemens OerdingFrank UhlmannIngmar KadenJohannes WollmannKai WohlfarthGeorg Thieme Verlag KGarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENTH Open (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Clemens Oerding Frank Uhlmann Ingmar Kaden Johannes Wollmann Kai Wohlfarth Carotid Artery Stenosis and ischemic Strokes in Patients with Giant Cell Arteritis A characteristic Pattern - Literature Review and Case Report
description	Purpose: Ischemic stroke is a relatively rare complication of giant cell arteritis often accompanied by vessel stenosis. Our purpose was to compare the location of internal carotid artery stenosis in GCA patients by performing a literature review suggesting a specific and characteristic pattern. Methods: We performed a Pubmed research including all articles and cited articles reporting cases and case series about giant cell arteritis patients with internal carotid artery stenosis and ischemic strokes. Results: In this case series 39 cases were included. We found a clear tendency of giant cell arteritis related stenosis to be in the intracranial segments (35/39 (89,7 %)). Only in 8/39 (20,5 %) patients there was further involvement of extracranial segments. Many cases (27/39 (69,2 %)) showed a bilateral involvement. Discussion: This literature review reveals a specific pattern of internal carotid artery involvement in patients with giant cell arteritis and ischemic strokes. To our knowledge this pattern has not been reported as a sign strongly pointing towards giant cell arteritis before. We have not found case reports mentioning other common types of vasculitis reporting this involvement pattern. Conclusion: Internal carotid artery stenosis and ischemic stroke is a rare complication in patients with giant cell arteritis. Considering the characteristic features of bilateral distal internal carotid artery stenosis giant cell arteritis should be suspected which potentially leads to an early diagnosis and immunotherapy.
format	article
author	Clemens Oerding Frank Uhlmann Ingmar Kaden Johannes Wollmann Kai Wohlfarth
author_facet	Clemens Oerding Frank Uhlmann Ingmar Kaden Johannes Wollmann Kai Wohlfarth
author_sort	Clemens Oerding
title	Carotid Artery Stenosis and ischemic Strokes in Patients with Giant Cell Arteritis A characteristic Pattern - Literature Review and Case Report
title_short	Carotid Artery Stenosis and ischemic Strokes in Patients with Giant Cell Arteritis A characteristic Pattern - Literature Review and Case Report
title_full	Carotid Artery Stenosis and ischemic Strokes in Patients with Giant Cell Arteritis A characteristic Pattern - Literature Review and Case Report
title_fullStr	Carotid Artery Stenosis and ischemic Strokes in Patients with Giant Cell Arteritis A characteristic Pattern - Literature Review and Case Report
title_full_unstemmed	Carotid Artery Stenosis and ischemic Strokes in Patients with Giant Cell Arteritis A characteristic Pattern - Literature Review and Case Report
title_sort	carotid artery stenosis and ischemic strokes in patients with giant cell arteritis a characteristic pattern - literature review and case report
publisher	Georg Thieme Verlag KG
publishDate	2021
url	https://doaj.org/article/13f1f942728e4305bb5559a2f63eae46
work_keys_str_mv	AT clemensoerding carotidarterystenosisandischemicstrokesinpatientswithgiantcellarteritisacharacteristicpatternliteraturereviewandcasereport AT frankuhlmann carotidarterystenosisandischemicstrokesinpatientswithgiantcellarteritisacharacteristicpatternliteraturereviewandcasereport AT ingmarkaden carotidarterystenosisandischemicstrokesinpatientswithgiantcellarteritisacharacteristicpatternliteraturereviewandcasereport AT johanneswollmann carotidarterystenosisandischemicstrokesinpatientswithgiantcellarteritisacharacteristicpatternliteraturereviewandcasereport AT kaiwohlfarth carotidarterystenosisandischemicstrokesinpatientswithgiantcellarteritisacharacteristicpatternliteraturereviewandcasereport
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Carotid Artery Stenosis and ischemic Strokes in Patients with Giant Cell Arteritis A characteristic Pattern - Literature Review and Case Report

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