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Intracranial Internal Carotid Artery Angioplasthy and Stenting in Giant Cell Arteritis
Author(s) -
Guerrero Antonio Méndez,
SierraHidalgo Fernando,
Calleja Patricia,
Navia Pedro,
Campollo Jorge,
DíazGuzmán Jaime
Publication year - 2014
Publication title -
journal of neuroimaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 64
eISSN - 1552-6569
pISSN - 1051-2284
DOI - 10.1111/jon.12116
Subject(s) - medicine , giant cell arteritis , internal carotid artery , stenosis , radiology , magnetic resonance imaging , arteritis , magnetic resonance angiography , angioplasty , antithrombotic , carotid stenting , vasculitis , cardiology , surgery , disease , carotid endarterectomy
We report the case of a 59‐year‐old woman who presented with several episodes of transient ischemic attack (TIA) caused by pathologically confirmed giant cell arteritis. She continued suffering from TIAs during admission despite immunosuppressant and antithrombotic therapy. Sudden neurological deterioration with paraparesis and cognitive impairment developed. A brain magnetic resonance (MR) imaging showed bilateral watershed ischemic lesions. MR angiography demonstrated severe stenosis of both intracranial internal carotid arteries (ICAs). Angioplasty and stenting on the left ICA were performed, with evident clinical improvement occurring within 24 hours. Endovascular therapy may be an alternative option to treat severe GCA with symptomatic intracranial large vessel disease not responsive to intensive conventional medical treatment.