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
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Abstract
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.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Giant cell arteritis, subdural hematoma, arterial origin |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Chiara D'Arpa |
| Date Deposited: | 27 Sep 2016 12:20 |
| Last Modified: | 27 Sep 2016 12:20 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/15169 |
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