Intracranial internal carotid artery angioplasthy and

J Neuroimaging · Mar 2015

Case Reports

Intracranial internal carotid artery angioplasthy and stenting in giant cell arteritis.

We report the case of a 59-year-old woman who presented with several episodes of transient ischemic attack (TIA) caused by pathologically confirmed giant cell arteritis. She continued suffering from TIAs during admission despite immunosuppressant and antithrombotic therapy. Sudden neurological deterioration with paraparesis and cognitive impairment developed. ⋯ MR angiography demonstrated severe stenosis of both intracranial internal carotid arteries (ICAs). Angioplasty and stenting on the left ICA were performed, with evident clinical improvement occurring within 24 hours. Endovascular therapy may be an alternative option to treat severe GCA with symptomatic intracranial large vessel disease not responsive to intensive conventional medical treatment.

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- Antonio Méndez Guerrero, Fernando Sierra-Hidalgo, Patricia Calleja, Pedro Navia, Jorge Campollo, and Jaime Díaz-Guzmán.
- Stroke Unit, Department of Neurology, Hospital Universitario 12 de Octubre, Madrid, Spain.
- J Neuroimaging. 2015 Mar 1;25(2):307-9.
AbstractWe report the case of a 59-year-old woman who presented with several episodes of transient ischemic attack (TIA) caused by pathologically confirmed giant cell arteritis. She continued suffering from TIAs during admission despite immunosuppressant and antithrombotic therapy. Sudden neurological deterioration with paraparesis and cognitive impairment developed. A brain magnetic resonance (MR) imaging showed bilateral watershed ischemic lesions. MR angiography demonstrated severe stenosis of both intracranial internal carotid arteries (ICAs). Angioplasty and stenting on the left ICA were performed, with evident clinical improvement occurring within 24 hours. Endovascular therapy may be an alternative option to treat severe GCA with symptomatic intracranial large vessel disease not responsive to intensive conventional medical treatment.Copyright © 2014 by the American Society of Neuroimaging.

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Intracranial internal carotid artery angioplasthy and stenting in giant cell arteritis.

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