Goedhart-de Haan A M S, Pans S J A, Lensen K D F, Meijerink M R, Comans E F I, Smulders Y M
Institute for Medical Education, VU University Medical Center, Amsterdam, the Netherlands.
Neth J Med. 2012 Mar;70(2):81-3.
Posterior ischaemic stroke is relatively uncommon, and its occurrence should alert clinicians to possible uncommon underlying disease. We report a patient with occipital brain infarction. The combination of age, gender, general malaise and elevated erythrocyte sedimentation rate led to the clinical suspicion of giant cell arteritis. Vertebral artery vasculitis was confirmed by 18-FD G positron emission tomography, combined with CT angiography, and immediate immunosuppressive therapy was started. Symptoms of stroke should, in a particular clinical context, raise suspicion of giant cell arteritis.
后循环缺血性卒中相对少见，其发生应提醒临床医生注意可能存在不常见的潜在疾病。我们报告一例枕叶脑梗死患者。患者的年龄、性别、全身不适及红细胞沉降率升高，临床上怀疑为巨细胞动脉炎。通过18-FD G正电子发射断层扫描结合CT血管造影确诊为椎动脉血管炎，并立即开始免疫抑制治疗。在特定的临床背景下，卒中症状应引起对巨细胞动脉炎的怀疑。
