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[经治疗的霍顿病中的早期脑血管意外。皮质类固醇治疗的责任?]

[Early cerebral vascular accidents in treated Horton's disease. Responsibility of the corticoid treatment?].

作者信息

Jouquan J, Mottier D, Cleuziou A, Pennec Y, Baccino E, Bergeret G, Garo B

出版信息

Ann Med Interne (Paris). 1984;135(7):526-9.

PMID:6517424
Abstract

Two cases of strokes in the vertebrobasilar territory were observed in patients with Horton's disease during the first week of treatment when the inflammatory process seemed clinically and biologically under control. The mechanisms of arterial ischaemia are discussed: specific localisation of giant cell arteritis, associated atherosclerosis, failure of therapy or a possible inducing role of steroid therapy as the chronology of these cases would suggest.

摘要

在霍顿病患者治疗的第一周内,观察到两例椎基底动脉区域中风,此时炎症过程在临床和生物学上似乎已得到控制。文中讨论了动脉缺血的机制:巨细胞动脉炎的特定定位、相关的动脉粥样硬化、治疗失败,或者如这些病例的时间顺序所提示的,类固醇治疗可能具有诱导作用。

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