Refractory giant cell arteritis with spinal cord infarction

S L Galetta; L J Balcer; A P Lieberman; N A Syed; J M Lee; J C Oberholtzer

doi:10.1212/WNL.49.6.1720

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$Refractory giant cell arteritis with spinal cord infarction$

Journal article

Peer reviewed

Refractory giant cell arteritis with spinal cord infarction

S L Galetta, L J Balcer, A P Lieberman, N A Syed, J M Lee and J C Oberholtzer

Neurology, Vol.49(6), pp.1720-1723

12/1997

DOI: 10.1212/WNL.49.6.1720

PMID: 9409378

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Abstract

We report an elderly patient with aggressive steroid-refractory giant cell arteritis manifesting as myelopathy and bilateral visual loss while on treatment. Pathologically, spinal cord infarction was observed and was due to extensive necrotizing granulomatous arteritis of spinal arteries. Spinal cord damage in giant cell arteritis is rare. One prior autopsy report of spinal cord infarction in giant cell arteritis did not identify vasculitic changes in the spinal arteries.

Magnetic Resonance Imaging

Infarction - complications

Humans

Temporal Arteries - pathology

Giant Cell Arteritis - complications

Female

Giant Cell Arteritis - pathology

Aged

Arteries - pathology

Spinal Cord - blood supply

Fundus Oculi

Details

Title: Subtitle: Refractory giant cell arteritis with spinal cord infarction
Creators: S L Galetta - Department of Neurology, University of Pennsylvania Medical Center, Philadelphia 19104, USA
L J Balcer
A P Lieberman
N A Syed
J M Lee
J C Oberholtzer
Resource Type: Journal article
Publication Details: Neurology, Vol.49(6), pp.1720-1723
Publisher: United States
DOI: 10.1212/WNL.49.6.1720
PMID: 9409378
ISSN: 0028-3878
eISSN: 1526-632X
Language: English
Date published: 12/1997
Academic Unit: Pathology; Ophthalmology and Visual Sciences
Record Identifier: 9983979904202771

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