Giant Cell Arteritis Presenting with Bilateral Subdural Haematomas of Arterial Origin
Giant cell arteritis or temporal arteritis is an inflammatory condition affecting medium to large sized vessels, particularly the cranial arteries. A 76-year-old man with no significant past medical history presented to the emergency department with a 3-week history of diffuse headaches associated w...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SMC MEDIA SRL
2016-07-01
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| Series: | European Journal of Case Reports in Internal Medicine |
| Subjects: | |
| Online Access: | http://ejcrim.com/index.php/EJCRIM/article/view/441 |
| _version_ | 1819211132454305792 |
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| author | Ahmed Gabr Khalid El Kholy James Crotty Margaret O’Connor Elijah Chaila |
| author_facet | Ahmed Gabr Khalid El Kholy James Crotty Margaret O’Connor Elijah Chaila |
| author_sort | Ahmed Gabr |
| collection | DOAJ |
| description | Giant cell arteritis or temporal arteritis is an inflammatory condition affecting medium to large sized vessels, particularly the cranial arteries. A 76-year-old man with no significant past medical history presented to the emergency department with a 3-week history of diffuse headaches associated with fever, loss of appetite, weight loss and general malaise. A CT scan of the brain showed bilateral shallow chronic low density subdural haematomas. A complete laboratory panel was unremarkable except for a raised erythrocyte sedimentation rate and elevated C-reactive protein. A transthoracic echocardiogram and CT scan of the body were unremarkable. MRI of the brain confirmed bilateral old subdural collections and showed marked vessel wall enhancement in the frontal branches of the left superficial temporal artery. A left temporal artery biopsy confirmed giant cell temporal arteritis. We speculate that a vasculitic process in the small subdural arteries may have contributed to our patient’s spontaneous subdural haematomas. |
| first_indexed | 2024-12-23T06:22:13Z |
| format | Article |
| id | doaj.art-4caa1bbc61024539926d870b3b194cc8 |
| institution | Directory Open Access Journal |
| issn | 2284-2594 |
| language | English |
| last_indexed | 2024-12-23T06:22:13Z |
| publishDate | 2016-07-01 |
| publisher | SMC MEDIA SRL |
| record_format | Article |
| series | European Journal of Case Reports in Internal Medicine |
| spelling | doaj.art-4caa1bbc61024539926d870b3b194cc82022-12-21T17:57:09ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942016-07-013510.12890/2016_000441162Giant Cell Arteritis Presenting with Bilateral Subdural Haematomas of Arterial OriginAhmed Gabr0Khalid El Kholy1James Crotty2Margaret O’Connor3Elijah Chaila4Department of General Internal Medicine, University Hospital Limerick, LimerickDepartment of General Internal Medicine, University Hospital Limerick, LimerickDepartment of Radiology, University Hospital Limerick, LimerickDepartment of Geriatric Medicine, University Hospital Limerick, LimerickDepartment of Neurology, University Hospital Limerick, LimerickGiant cell arteritis or temporal arteritis is an inflammatory condition affecting medium to large sized vessels, particularly the cranial arteries. A 76-year-old man with no significant past medical history presented to the emergency department with a 3-week history of diffuse headaches associated with fever, loss of appetite, weight loss and general malaise. A CT scan of the brain showed bilateral shallow chronic low density subdural haematomas. A complete laboratory panel was unremarkable except for a raised erythrocyte sedimentation rate and elevated C-reactive protein. A transthoracic echocardiogram and CT scan of the body were unremarkable. MRI of the brain confirmed bilateral old subdural collections and showed marked vessel wall enhancement in the frontal branches of the left superficial temporal artery. A left temporal artery biopsy confirmed giant cell temporal arteritis. We speculate that a vasculitic process in the small subdural arteries may have contributed to our patient’s spontaneous subdural haematomas.http://ejcrim.com/index.php/EJCRIM/article/view/441Giant cell arteritis, subdural hematoma, arterial origin. |
| spellingShingle | Ahmed Gabr Khalid El Kholy James Crotty Margaret O’Connor Elijah Chaila Giant Cell Arteritis Presenting with Bilateral Subdural Haematomas of Arterial Origin European Journal of Case Reports in Internal Medicine Giant cell arteritis, subdural hematoma, arterial origin. |
| title | Giant Cell Arteritis Presenting with Bilateral Subdural Haematomas of Arterial Origin |
| title_full | Giant Cell Arteritis Presenting with Bilateral Subdural Haematomas of Arterial Origin |
| title_fullStr | Giant Cell Arteritis Presenting with Bilateral Subdural Haematomas of Arterial Origin |
| title_full_unstemmed | Giant Cell Arteritis Presenting with Bilateral Subdural Haematomas of Arterial Origin |
| title_short | Giant Cell Arteritis Presenting with Bilateral Subdural Haematomas of Arterial Origin |
| title_sort | giant cell arteritis presenting with bilateral subdural haematomas of arterial origin |
| topic | Giant cell arteritis, subdural hematoma, arterial origin. |
| url | http://ejcrim.com/index.php/EJCRIM/article/view/441 |
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