Engelke W D, Dörstelmann D
Fortschr Neurol Psychiatr Grenzgeb. 1979 Feb;47(2):91-5.
This is a report of a 64 years old patient who experienced a transverse lesion of the spinal cord with quadriplegia caused by giant cell arteritis. It is stressed that giant cell arteritis not only affects the temporal arteries but on principle any other artery of the body. The giant cell arteritis generally is accompanied with similar humoral findigns as a malignant neoplasm. Therefor in a few cases with high spinal cord lesion suspected to be caused by a malignant tumour the giant cell arteritis may be the real cause, if a spinal mass is excluded. In order to prevent irreversible paralytic defects a cortisone therapy has to be started with as early as possible. It must be carried on for a long period to prevent a restarting of the inflammatory process.
这是一份关于一名64岁患者的报告，该患者因巨细胞动脉炎导致脊髓横贯性损伤并四肢瘫痪。需要强调的是，巨细胞动脉炎不仅会影响颞动脉，原则上还会影响身体的任何其他动脉。巨细胞动脉炎通常伴有与恶性肿瘤相似的体液检查结果。因此，在少数怀疑由恶性肿瘤引起的高位脊髓损伤病例中，如果排除了脊髓肿块，巨细胞动脉炎可能是真正的病因。为了防止不可逆转的麻痹性缺陷，必须尽早开始皮质类固醇治疗。必须长期进行治疗以防止炎症过程再次发作。
