Imaging Findings in Giant Cell Arteritis: Don't Turn a Blind Eye to the Obvious!

Girish Bathla, Amit K Agarwal, Steven A Messina, David F Black, Neetu Soni, Felix E Diehn, Norbert G Campeau, Vance T Lehman, Kenneth J Warrington, Rennie L Rhee, Thorsten A Bley
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Abstract

Giant cell arteritis (GCA) is the most common primary large vessel systemic vasculitis in the Western World. Even though the involvement of scalp and intracranial vessels has received much attention in the neuroradiology literature, GCA, being a systemic vasculitis, can involve multiple other larger vessels including the aorta and its major head and neck branches. Herein, the authors present a pictorial review of the various cranial, extracranial, and orbital manifestations of GCA. An increased awareness of this entity may help with timely and accurate diagnosis, helping expedite therapy and preventing serious complications.

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巨细胞动脉炎的影像学发现:不要对显而易见的问题视而不见!
巨细胞动脉炎(GCA)是西方世界最常见的原发性大血管系统性血管炎。尽管头皮和颅内血管受累在神经放射学文献中备受关注,但作为一种全身性血管炎,GCA 可累及包括主动脉及其主要头颈部分支在内的多条其他较大血管。在此,作者以图解的方式回顾了 GCA 的各种颅内、颅外和眼眶表现。提高对这种疾病的认识有助于及时准确地诊断,加快治疗并预防严重并发症的发生:ACR=美国风湿病学会,AION=前部缺血性视神经病变,EULAR=欧洲抗风湿病联盟,GCA=巨细胞动脉炎,LV-GCA=大血管 GCA,PMR=多发性风湿痛,US=超声波,VWI=血管壁成像。
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