Gál Réka, Bălaşa Rodica, Bajkó Zoltán, Maier Smaranda, Simu Iunius, Bălaşa Adrian
Mureş County Clinical Emergency Hospital Târgu Mureş, Neurology Clinic II,Târgu Mureş, România.
University of Medicine and Pharmacy Târgu Mureş, Department of Neurology, Târgu Mureş, România.
J Crit Care Med (Targu Mures). 2017 Nov 8;3(4):153-157. doi: 10.1515/jccm-2017-0028. eCollection 2017 Oct.
Giant cell arteritis is a systemic inflammatory vasculitis, typically involving the superficial temporal arteries, but with possible ischemic and hemorrhagic cerebrovascular complications. The case is reported of a patient with a clinical picture of giant cell arteritis, who had multiple occupational exposures to various infectious agents. His initial favourable progress was followed by an atypical outcome. Despite immunosuppressive treatment, he developed fatal subarachnoid and intracerebral haemorrhages, possibly due to rupture of a microaneurysm of the posterior cerebral artery.
巨细胞动脉炎是一种全身性炎症性血管炎，通常累及颞浅动脉，但可能伴有缺血性和出血性脑血管并发症。本文报告了一例具有巨细胞动脉炎临床表现的患者，该患者有多种职业性接触各种感染因子的经历。他起初病情进展良好，但随后出现了非典型的结局。尽管接受了免疫抑制治疗，他仍发生了致命的蛛网膜下腔出血和脑出血，可能是由于大脑后动脉微动脉瘤破裂所致。
