Arteritis de células gigantes en el sistema vertebrobasilar, isquemias cerebelo-occipitales y parálisis III par. Caso clínico

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 e...

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Autores principales:	Adolfo,Del Canto A., Montoya S.,Francisca, Marileo Z.,Roberto, Cartier R.,Luis
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	Giant Cell Arteritis Oculomotor Nerve Stroke Temporal Arteries Vertebral Artery
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101356
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spelling	oai:scielo:S0034-988720180011013562019-02-13Arteritis de células gigantes en el sistema vertebrobasilar, isquemias cerebelo-occipitales y parálisis III par. Caso clínicoAdolfo,Del Canto A.Montoya S.,FranciscaMarileo Z.,RobertoCartier R.,Luis Giant Cell Arteritis Oculomotor Nerve Stroke Temporal Arteries Vertebral Artery 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.11 20182018-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101356es10.4067/S0034-98872018001101356
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Giant Cell Arteritis Oculomotor Nerve Stroke Temporal Arteries Vertebral Artery
spellingShingle	Giant Cell Arteritis Oculomotor Nerve Stroke Temporal Arteries Vertebral Artery Adolfo,Del Canto A. Montoya S.,Francisca Marileo Z.,Roberto Cartier R.,Luis Arteritis de células gigantes en el sistema vertebrobasilar, isquemias cerebelo-occipitales y parálisis III par. Caso clínico
description	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.
author	Adolfo,Del Canto A. Montoya S.,Francisca Marileo Z.,Roberto Cartier R.,Luis
author_facet	Adolfo,Del Canto A. Montoya S.,Francisca Marileo Z.,Roberto Cartier R.,Luis
author_sort	Adolfo,Del Canto A.
title	Arteritis de células gigantes en el sistema vertebrobasilar, isquemias cerebelo-occipitales y parálisis III par. Caso clínico
title_short	Arteritis de células gigantes en el sistema vertebrobasilar, isquemias cerebelo-occipitales y parálisis III par. Caso clínico
title_full	Arteritis de células gigantes en el sistema vertebrobasilar, isquemias cerebelo-occipitales y parálisis III par. Caso clínico
title_fullStr	Arteritis de células gigantes en el sistema vertebrobasilar, isquemias cerebelo-occipitales y parálisis III par. Caso clínico
title_full_unstemmed	Arteritis de células gigantes en el sistema vertebrobasilar, isquemias cerebelo-occipitales y parálisis III par. Caso clínico
title_sort	arteritis de células gigantes en el sistema vertebrobasilar, isquemias cerebelo-occipitales y parálisis iii par. caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101356
work_keys_str_mv	AT adolfodelcantoa arteritisdecelulasgigantesenelsistemavertebrobasilarisquemiascerebelooccipitalesyparalisisiiiparcasoclinico AT montoyasfrancisca arteritisdecelulasgigantesenelsistemavertebrobasilarisquemiascerebelooccipitalesyparalisisiiiparcasoclinico AT marileozroberto arteritisdecelulasgigantesenelsistemavertebrobasilarisquemiascerebelooccipitalesyparalisisiiiparcasoclinico AT cartierrluis arteritisdecelulasgigantesenelsistemavertebrobasilarisquemiascerebelooccipitalesyparalisisiiiparcasoclinico
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Arteritis de células gigantes en el sistema vertebrobasilar, isquemias cerebelo-occipitales y parálisis III par. Caso clínico

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