Morris Olivia C, Lockie Patrick
Geelong Hospital, Victoria, Australia.
Aust Fam Physician. 2005 Aug;34(8):653-5.
Stroke and multi-infarct dementia are most commonly caused by atherosclerotic disease and are irreversible. Stroke and dementia associated with giant cell arteritis are rare but important to recognise as they may be reversible if diagnosed and treated promptly.
This article describes the case of a patient who presented with a cilioretinal artery occlusion, diagnosed as being due to giant cell arteritis.
In retrospect, it seems likely that a stroke suffered 3 years earlier and mental state deterioration over that period may have been associated with the giant cell arteritis. Therefore, features useful in identifying stroke, transient ischaemic attack and dementia caused by giant cell arteritis are described.
中风和多发梗死性痴呆最常见的病因是动脉粥样硬化疾病，且是不可逆的。与巨细胞动脉炎相关的中风和痴呆较为罕见，但因其若能及时诊断和治疗可能可逆，所以识别它们很重要。
本文描述了一名出现睫状视网膜动脉阻塞、被诊断为巨细胞动脉炎所致的患者病例。
回顾来看，3年前发生的一次中风以及在此期间出现的精神状态恶化似乎可能与巨细胞动脉炎有关。因此，本文描述了有助于识别由巨细胞动脉炎引起的中风、短暂性脑缺血发作和痴呆的特征。
