Giant Cell Arteritis Presenting with Bilateral Subdural Haematomas of Arterial Origin


Autoria(s): Gabr, Ahmed; El Kholy, Khalid; Crotty, James; O’Connor, Margaret; Chaila, Elijah
Data(s)

2016

Resumo

Giant cell arteritis or temporal arteritis is an inflammatory condition affecting medium to large sized vessels, particularly the cranial arteries. A 76-year-old man with no significant past medical history presented to the emergency department with a 3-week history of diffuse headaches associated with fever, loss of appetite, weight loss and general malaise. A CT scan of the brain showed bilateral shallow chronic low density subdural haematomas. A complete laboratory panel was unremarkable except for a raised erythrocyte sedimentation rate and elevated C-reactive protein. A transthoracic echocardiogram and CT scan of the body were unremarkable. MRI of the brain confirmed bilateral old subdural collections and showed marked vessel wall enhancement in the frontal branches of the left superficial temporal artery. A left temporal artery biopsy confirmed giant cell temporal arteritis. We speculate that a vasculitic process in the small subdural arteries may have contributed to our patient’s spontaneous subdural haematomas.

Formato

text

Identificador

http://eprints.bice.rm.cnr.it/15169/1/441-2881-1-PB.pdf

Gabr, Ahmed and El Kholy, Khalid and Crotty, James and O’Connor, Margaret and Chaila, Elijah (2016) Giant Cell Arteritis Presenting with Bilateral Subdural Haematomas of Arterial Origin. European Journal of Case Reports in Internal Medicine, 3 (5). pp. 1-4. ISSN 2284-2594

Idioma(s)

en

Publicador

SMC media

Relação

http://eprints.bice.rm.cnr.it/15169/

http://www.ejcrim.com/index.php/EJCRIM/article/view/441

10.12890/2016_000441

Palavras-Chave #616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Tipo

Article

PeerReviewed