Bilateral MCP Infarct Due to Vertebral Giant Cell Arteritis

J Stroke Cerebrovasc Dis. 2021 Jan;30(1):105430. doi: 10.1016/j.jstrokecerebrovasdis.2020.105430. Epub 2020 Nov 5.

Abstract

We present the case of an 83-year-old woman with an isolated bilateral middle cerebellar peduncles stroke caused by complete occlusion of the right vertebral artery and focal occlusion of the left vertebral artery due to giant cell arteritis. The diagnosis was achieved by integrating MRI, ultrasound study, laboratory data and subsequent pathology analysis after biopsy of the temporal artery.

Keywords: Doppler studies; MRI; Stroke imaging; Vasculitis.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Biopsy
  • Brain Stem Infarctions / diagnostic imaging
  • Brain Stem Infarctions / etiology*
  • Female
  • Giant Cell Arteritis / complications*
  • Giant Cell Arteritis / pathology
  • Humans
  • Middle Cerebellar Peduncle / blood supply*
  • Multimodal Imaging
  • Predictive Value of Tests
  • Temporal Arteries* / pathology
  • Vertebrobasilar Insufficiency / diagnostic imaging
  • Vertebrobasilar Insufficiency / etiology*