巨细胞动脉炎并发脊髓梗死：治疗困境

Giant cell arteritis complicated by spinal cord infarction: a therapeutic dilemma.

作者信息

Fruchter Oren, Ben-Ami Haim, Schapira Daniel, Gallimidi Zahava, Gaitini Diana, Goldsher Dorit

机构信息

Department of Internal Medicine C, Rambam Medical Center and Bruce Rappaport Faculty of Medicine, Technion, and the Institute of Technology, Haifa, Israel.

出版信息

J Rheumatol. 2002 Jul;29(7):1556-8.

PMID:12136920

Abstract

Spinal cord involvement is uncommon in giant cell arteritis (GCA) and spinal cord infarction is extremely rare. We describe an 80-year-old man with active GCA who developed sudden paraplegia and dissociated sensory loss while receiving steroid treatment. Magnetic resonance imaging showed high signal abnormality consistent with spinal cord infarction in the anterior spinal artery territory at the level of D10. The case illustrates the elusive nature of GCA and the diagnostic and therapeutic dilemmas faced by the physician caring for these patients.

摘要

脊髓受累在巨细胞动脉炎（GCA）中并不常见，而脊髓梗死极为罕见。我们描述了一名80岁患有活动性GCA的男性，在接受类固醇治疗时突然出现截瘫和分离性感觉丧失。磁共振成像显示在胸10水平脊髓前动脉区域有与脊髓梗死一致的高信号异常。该病例说明了GCA难以捉摸的性质以及治疗这些患者的医生所面临的诊断和治疗困境。