Loading…
Lessons of the month: Giant cell arteritis with Horner's syndrome and vertebral dissection
We present a case of an 82-year-old woman presenting with left-sided Horner's syndrome and stroke. She also had a 6-week history of intermittent dizziness, reduced appetite, lethargy, muscle stiffness and weight loss. Examination revealed left temporal artery and left posterior auricular artery...
Saved in:
| Published in: | Clinical medicine (London, England) England), 2023-01, Vol.23 (1), p.94-96 |
|---|---|
| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c401t-ecfb2ace05fcea033d206e332d6620b84d5a8cafd6b4c9c01a991e11c70c041d3 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c401t-ecfb2ace05fcea033d206e332d6620b84d5a8cafd6b4c9c01a991e11c70c041d3 |
| container_end_page | 96 |
| container_issue | 1 |
| container_start_page | 94 |
| container_title | Clinical medicine (London, England) |
| container_volume | 23 |
| creator | Vaidya, Kriti Gor, Shivani Ahmed, Azeem Waheed, Amir |
| description | We present a case of an 82-year-old woman presenting with left-sided Horner's syndrome and stroke. She also had a 6-week history of intermittent dizziness, reduced appetite, lethargy, muscle stiffness and weight loss. Examination revealed left temporal artery and left posterior auricular artery tenderness. Her ESR showed 62 mm/hr and imaging showed left vertebral artery dissection. Temporal artery biopsy was positive.
The case highlights a rare presentation of giant cell arteritis with Horner's syndrome and left vertebral artery dissection. High clinical suspicion is required to prevent delay in diagnosis and treatment. |
| doi_str_mv | 10.7861/clinmed.2022-0479 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2773532695</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1470211824046633</els_id><sourcerecordid>2773532695</sourcerecordid><originalsourceid>FETCH-LOGICAL-c401t-ecfb2ace05fcea033d206e332d6620b84d5a8cafd6b4c9c01a991e11c70c041d3</originalsourceid><addsrcrecordid>eNp9kLtOwzAUhi0EEqXwAGyWGJhSfMsNJlRBixSJBRYWy7FPVFeJXWy3qG9PSjsznTN8_7l8CN1SMiurgj7o3roBzIwRxjIiyvoMTagoeSaqmp__9SRjlFaX6CrGNSE0F3UxQV8NxOhdxL7DaQV48C6tHvHCKpewhr7HKiQINtmIf2xa4aUPDsJ9xHHvTPADYOUM3sFItUH12NgYQSfr3TW66FQf4eZUp-jz9eVjvsya98Xb_LnJtCA0ZaC7likNJO80KMK5YaQAzpkpCkbaSphcVVp1pmiFrjWhqq4pUKpLoomghk_R3XHuJvjvLcQk134b3LhSsrLkOWdFnY8UPVI6-BgDdHIT7KDCXlIiDwrlSaE8KJQHhWPm6ZiB8fydhSCjtuA0GBvGH6Xx9p_0L3fse84</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2773532695</pqid></control><display><type>article</type><title>Lessons of the month: Giant cell arteritis with Horner's syndrome and vertebral dissection</title><source>Open Access: PubMed Central</source><source>ScienceDirect Journals</source><creator>Vaidya, Kriti ; Gor, Shivani ; Ahmed, Azeem ; Waheed, Amir</creator><creatorcontrib>Vaidya, Kriti ; Gor, Shivani ; Ahmed, Azeem ; Waheed, Amir</creatorcontrib><description>We present a case of an 82-year-old woman presenting with left-sided Horner's syndrome and stroke. She also had a 6-week history of intermittent dizziness, reduced appetite, lethargy, muscle stiffness and weight loss. Examination revealed left temporal artery and left posterior auricular artery tenderness. Her ESR showed 62 mm/hr and imaging showed left vertebral artery dissection. Temporal artery biopsy was positive.
The case highlights a rare presentation of giant cell arteritis with Horner's syndrome and left vertebral artery dissection. High clinical suspicion is required to prevent delay in diagnosis and treatment.</description><identifier>ISSN: 1470-2118</identifier><identifier>EISSN: 1473-4893</identifier><identifier>DOI: 10.7861/clinmed.2022-0479</identifier><language>eng</language><publisher>London: Elsevier Ltd</publisher><subject>Biopsy ; Carotid arteries ; Dissection ; Giant cell arteritis ; Headaches ; Horner's syndrome ; Ischemia ; Medical diagnosis ; Patients ; Rheumatology ; Steroids ; Stroke ; Vein & artery diseases ; vertebral dissection</subject><ispartof>Clinical medicine (London, England), 2023-01, Vol.23 (1), p.94-96</ispartof><rights>2023 © 2023 THE AUTHORS. Published by Elsevier Limited on behalf of the Royal College of Physicians.</rights><rights>Copyright Royal College of Physicians Jan 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c401t-ecfb2ace05fcea033d206e332d6620b84d5a8cafd6b4c9c01a991e11c70c041d3</citedby><cites>FETCH-LOGICAL-c401t-ecfb2ace05fcea033d206e332d6620b84d5a8cafd6b4c9c01a991e11c70c041d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1470211824046633$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3549,27924,27925,45780</link.rule.ids></links><search><creatorcontrib>Vaidya, Kriti</creatorcontrib><creatorcontrib>Gor, Shivani</creatorcontrib><creatorcontrib>Ahmed, Azeem</creatorcontrib><creatorcontrib>Waheed, Amir</creatorcontrib><title>Lessons of the month: Giant cell arteritis with Horner's syndrome and vertebral dissection</title><title>Clinical medicine (London, England)</title><description>We present a case of an 82-year-old woman presenting with left-sided Horner's syndrome and stroke. She also had a 6-week history of intermittent dizziness, reduced appetite, lethargy, muscle stiffness and weight loss. Examination revealed left temporal artery and left posterior auricular artery tenderness. Her ESR showed 62 mm/hr and imaging showed left vertebral artery dissection. Temporal artery biopsy was positive.
The case highlights a rare presentation of giant cell arteritis with Horner's syndrome and left vertebral artery dissection. High clinical suspicion is required to prevent delay in diagnosis and treatment.</description><subject>Biopsy</subject><subject>Carotid arteries</subject><subject>Dissection</subject><subject>Giant cell arteritis</subject><subject>Headaches</subject><subject>Horner's syndrome</subject><subject>Ischemia</subject><subject>Medical diagnosis</subject><subject>Patients</subject><subject>Rheumatology</subject><subject>Steroids</subject><subject>Stroke</subject><subject>Vein & artery diseases</subject><subject>vertebral dissection</subject><issn>1470-2118</issn><issn>1473-4893</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kLtOwzAUhi0EEqXwAGyWGJhSfMsNJlRBixSJBRYWy7FPVFeJXWy3qG9PSjsznTN8_7l8CN1SMiurgj7o3roBzIwRxjIiyvoMTagoeSaqmp__9SRjlFaX6CrGNSE0F3UxQV8NxOhdxL7DaQV48C6tHvHCKpewhr7HKiQINtmIf2xa4aUPDsJ9xHHvTPADYOUM3sFItUH12NgYQSfr3TW66FQf4eZUp-jz9eVjvsya98Xb_LnJtCA0ZaC7likNJO80KMK5YaQAzpkpCkbaSphcVVp1pmiFrjWhqq4pUKpLoomghk_R3XHuJvjvLcQk134b3LhSsrLkOWdFnY8UPVI6-BgDdHIT7KDCXlIiDwrlSaE8KJQHhWPm6ZiB8fydhSCjtuA0GBvGH6Xx9p_0L3fse84</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Vaidya, Kriti</creator><creator>Gor, Shivani</creator><creator>Ahmed, Azeem</creator><creator>Waheed, Amir</creator><general>Elsevier Ltd</general><general>Royal College of Physicians</general><scope>6I.</scope><scope>AAFTH</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>EHMNL</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>202301</creationdate><title>Lessons of the month: Giant cell arteritis with Horner's syndrome and vertebral dissection</title><author>Vaidya, Kriti ; Gor, Shivani ; Ahmed, Azeem ; Waheed, Amir</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c401t-ecfb2ace05fcea033d206e332d6620b84d5a8cafd6b4c9c01a991e11c70c041d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Biopsy</topic><topic>Carotid arteries</topic><topic>Dissection</topic><topic>Giant cell arteritis</topic><topic>Headaches</topic><topic>Horner's syndrome</topic><topic>Ischemia</topic><topic>Medical diagnosis</topic><topic>Patients</topic><topic>Rheumatology</topic><topic>Steroids</topic><topic>Stroke</topic><topic>Vein & artery diseases</topic><topic>vertebral dissection</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vaidya, Kriti</creatorcontrib><creatorcontrib>Gor, Shivani</creatorcontrib><creatorcontrib>Ahmed, Azeem</creatorcontrib><creatorcontrib>Waheed, Amir</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>UK & Ireland Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Clinical medicine (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vaidya, Kriti</au><au>Gor, Shivani</au><au>Ahmed, Azeem</au><au>Waheed, Amir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lessons of the month: Giant cell arteritis with Horner's syndrome and vertebral dissection</atitle><jtitle>Clinical medicine (London, England)</jtitle><date>2023-01</date><risdate>2023</risdate><volume>23</volume><issue>1</issue><spage>94</spage><epage>96</epage><pages>94-96</pages><issn>1470-2118</issn><eissn>1473-4893</eissn><abstract>We present a case of an 82-year-old woman presenting with left-sided Horner's syndrome and stroke. She also had a 6-week history of intermittent dizziness, reduced appetite, lethargy, muscle stiffness and weight loss. Examination revealed left temporal artery and left posterior auricular artery tenderness. Her ESR showed 62 mm/hr and imaging showed left vertebral artery dissection. Temporal artery biopsy was positive.
The case highlights a rare presentation of giant cell arteritis with Horner's syndrome and left vertebral artery dissection. High clinical suspicion is required to prevent delay in diagnosis and treatment.</abstract><cop>London</cop><pub>Elsevier Ltd</pub><doi>10.7861/clinmed.2022-0479</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1470-2118 |
| ispartof | Clinical medicine (London, England), 2023-01, Vol.23 (1), p.94-96 |
| issn | 1470-2118 1473-4893 |
| language | eng |
| recordid | cdi_proquest_journals_2773532695 |
| source | Open Access: PubMed Central; ScienceDirect Journals |
| subjects | Biopsy Carotid arteries Dissection Giant cell arteritis Headaches Horner's syndrome Ischemia Medical diagnosis Patients Rheumatology Steroids Stroke Vein & artery diseases vertebral dissection |
| title | Lessons of the month: Giant cell arteritis with Horner's syndrome and vertebral dissection |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T07%3A22%3A49IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Lessons%20of%20the%20month:%20Giant%20cell%20arteritis%20with%20Horner's%20syndrome%20and%20vertebral%20dissection&rft.jtitle=Clinical%20medicine%20(London,%20England)&rft.au=Vaidya,%20Kriti&rft.date=2023-01&rft.volume=23&rft.issue=1&rft.spage=94&rft.epage=96&rft.pages=94-96&rft.issn=1470-2118&rft.eissn=1473-4893&rft_id=info:doi/10.7861/clinmed.2022-0479&rft_dat=%3Cproquest_cross%3E2773532695%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c401t-ecfb2ace05fcea033d206e332d6620b84d5a8cafd6b4c9c01a991e11c70c041d3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2773532695&rft_id=info:pmid/&rfr_iscdi=true |