The Use of Vessel Wall Imaging for Making an Early Diagnosis of Giant Cell Arteritis in a Case with Cerebral Infarction
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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BibTeX
@article{yamamoto2026vessel,
title = {{The Use of Vessel Wall Imaging for Making an Early Diagnosis of Giant Cell Arteritis in a Case with Cerebral Infarction}},
author = {Masaomi Yamamoto and Tomohisa Dembo and Tetsuo Yamaga and Shuji Momose and Satoru Oji and Kenichi Kaida},
journal = {Internal Medicine},
year = {2026},
month = jul,
doi = {10.2169/internalmedicine.6532-25},
url = {https://www.jstage.jst.go.jp/article/internalmedicine/65/14/65_6532-25/_article},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - The Use of Vessel Wall Imaging for Making an Early Diagnosis of Giant Cell Arteritis in a Case with Cerebral Infarction
AU - Masaomi Yamamoto
AU - Tomohisa Dembo
AU - Tetsuo Yamaga
AU - Shuji Momose
AU - Satoru Oji
AU - Kenichi Kaida
PY - 2026
DA - 2026/07/15
JO - Internal Medicine
DO - 10.2169/internalmedicine.6532-25
UR - https://www.jstage.jst.go.jp/article/internalmedicine/65/14/65_6532-25/_article
AB - 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.
SN - 1349-7235
SN - 0918-2918
ER -