ArticleInternal medicine (Tokyo, Japan)2026
The Use of Vessel Wall Imaging for Making an Early Diagnosis of Giant Cell Arteritis in a Case with Cerebral Infarction.
Article in Internal medicine (Tokyo, Japan), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
We report a rare case of giant cell arteritis (GCA) initially presenting as ischemic stroke in the perforating branch territory. An 81-year-old woman presented with dysarthria and was diagnosed with a right midbrain and pontine infarction. Six months later, the patient developed recurrent dysarthria and left hemiparesis. Magnetic resonance imaging (MRI) revealed a new right lenticulostriate infarct, and magnetic resonance angiography showed rapidly progressive intracranial stenosis. Vessel wall MRI demonstrated concentric enhancement in the intracranial and extracranial arteries. A temporal artery biopsy confirmed the presence of GCA. This case highlights the diagnostic value of vessel wall imaging for detecting intracranial involvement in GCA.
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