Giant cell arteritis (GCA) is the most common vasculitis in patients older than 50 years, and it is occasionally a cause of ischemic stroke. GCA as a paraneoplastic manifestation has been rarely described. We describe a 77-year-old man with a sudden onset of dizziness, vomiting, and gait disturbances. Following imaging studies, a diagnosis of bulbar ischemic stroke with left vertebral artery stenosis was made. Based on a history of polymyalgia rheumatica, on laboratory tests, and brain digital subtraction angiography, a diagnosis of GCA was advanced and the patient underwent high-dose steroidal therapy. After a total body 18-FGD PET imaging, a pulmonary adenocarcinoma was found. Vertebral artery involvement is a rare but important occurrence in GCA as it carries a high mortality rate, and may require a vigorous therapeutic approach. The association of lung cancer and GCA is infrequent, and the relationship between malignancy and GCA remains unclear. Whereas the search for a malignancy in the setting of a GCA is not routinely performed, the use of total body PET when a large vessel vasculitis is suspected may provide useful information on disease and help recognize occult neoplasms.
Ischemic stroke caused by giant cell arteritis associated with pulmonary adenocarcinoma / G. Scopelliti, P. Bertora, C. Bortolami, S. Rosa, L. Pantoni. - In: JOURNAL OF CLINICAL NEUROSCIENCE. - ISSN 0967-5868. - 72(2020 Feb), pp. 485-486.
|Titolo:||Ischemic stroke caused by giant cell arteritis associated with pulmonary adenocarcinoma|
SCOPELLITI, GIUSEPPE (Primo)
BERTORA, PIERLUIGI (Secondo)
ROSA, SILVIA (Penultimo)
PANTONI, LEONARDO (Ultimo) (Corresponding)
|Parole Chiave:||Cancer; Diagnosis; Giant cell arteritis; Stroke; Vasculitis|
|Settore Scientifico Disciplinare:||Settore MED/26 - Neurologia|
|Data di pubblicazione:||feb-2020|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1016/j.jocn.2019.10.018|
|Appare nelle tipologie:||01 - Articolo su periodico|