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Sakurai Yasuhisa - - 2008
OBJECTIVE: To clarify whether agraphia or alexia occurs in lesions of the left posterior middle temporal gyrus. METHODS: We assessed the reading and writing abilities of two patients with this lesion using kanji (Japanese morphograms) and kana (Japanese syllabograms). RESULTS: Patient 1 first presented with pure alexia more impaired for ...
Cantini Fabrizio - - 2008
Giant cell arteritis (GCA) is a chronic granulomatous vasculitis of unknown aetiology occurring in the elderly. It affects the cranial branches of the arteries originating from the aortic arch and is usually associated with markedly elevated acute-phase reactants. In 10-15% of cases the extra-cranial branches of the aortic arch are ...
Hirata Shintaro - - 2008
A 76-year-old woman with pulmonary asbestosis was admitted with fever and polymyalgia. She subsequently developed a visual disorder, hemoptysis, and hemoperitoneum. A biopsy of the temporal artery revealed the presence of giant-cell arteritis. CT and angiography showed hemorrhaging from the bronchial and abdominal arteries. These observations suggested temporal arteritis in ...
Enç Feruze - - 2007
Takayasu's arteritis is a chronic granulomatous vasculitis of unknown etiology that primarily affects the great arteries; the aorta and its branches, and pulmonary and coronary arteries are the most commonly affected. Takayasu's arteritis and inflammatory bowel disease in the same individual has been occasionally reported in the literature. We report ...
Scardina Giuseppe Alessandro - - 2007
Kawasaki disease (KD) was first described in 1967 by Kawasaki, who defined it as "mucocutaneous lymph node syndrome". KD is an acute systemic vasculitis, which mainly involves medium calibre arteries; its origin is unknown, and it is observed in children under the age of 5, especially in their third year. ...
Pfadenhauer Karl - - 2007
Evaluation of the diagnostic contribution of color duplex sonography of the temporal, carotid and vertebral arteries and doppler sonography of the periorbital arteries in patients with and without giant cell arteries (GCA) particularly to distinguish between arteritic and nonarteritic neuro-ophthalmological vascular complications (NOC). In a prospective study ultrasonographic findings in ...
Miyagawa Kotaro - - 2007
This unusual case of Takayasu arteritis presenting as acute myocardial infarction could be defined by ultrasonography and 18-fluorodeoxyglucose positron emission tomography (18F-FDG PET) coregistered with computed tomography (CT). A 55-year-old male was admitted to our hospital with continuous chest pain and left-side neck pain. After primary percutaneous coronary intervention, elevation ...
Warrington K J - - 2007
Giant cell arteritis (GCA) is a common form of vasculitis that predominantly affects the elderly. Cranial symptoms and elevated inflammatory markers are suggestive of the condition and the diagnosis is usually established by temporal artery biopsy. Corticosteroids are the mainstay of treatment for GCA and prolonged therapy is often necessary. ...
Koga Tomohiro - - 2007
Giant cell arteritis (GCA) and polymyalgia rheumatica (PMR) are closely related disorders found in older patients, and vasculitis has been proposed as a part of the pathogenesis of PMR. We describe a female patient with PMR plus aortitis, both of which were well controlled on maintenance steroid therapy. Six months ...
Yoshida M - - 2008
Takayasu's arteritis is a disease of unknown etiology with a constellation of clinical findings primarily resulting from stenotic lesions on the aorta and its branches. Although aneurysmal degeneration is observed frequently in patients with Takayasu's arteritis, non-aneurysmal spontaneous aortic rupture is extremely rare. We report a case of endovascular stent ...
Inoue Takehiro - - 2007
A 52-year-old woman with Takayasu aortitis had undergone coronary artery bypass grafting and left subclavian artery reconstruction two years before admission to the Kinki University Medical Hospital (Osaka, Japan). On this admission, marked annuloaortic ectasia with severe aortic regurgitation was noted on echocardiography and aortography. Because of refractory heart failure, ...
Kadri Paulo A S - - 2007
OBJECTIVE: With the recent interest in superficial temporal artery-middle cerebral artery (MCA) bypass for hemodynamic related ischemia, we performed an anatomic study to find the best possible craniotomy site that will allow finding a suitable recipient cortical artery without compromising the use of the best branch and/or segment of the ...
Goicochea Maria - - 2007
Temporal arteritis is a form of systemic vasculitis that involves branches of the carotid artery. Clinical features are headache, visual loss, ophthalmoplegia, jaw claudication, temporal headache, with tenderness and thickening on the affected temporal artery. We present 3 cases of tongue necrosis due to this granulomatous arteritis. Ischemic necrosis of ...
Lawson Lari - - 2007
BACKGROUND: Research on the accuracy and precision of noninvasive methods of measuring body temperature is equivocal. OBJECTIVES: To determine accuracy and precision of oral, ear-based, temporal artery, and axillary temperature measurements compared with pulmonary artery temperature. METHODS: Repeated-measures design conducted for 6 months. Sequential temperature measurements on the same side ...
Fujita Tetsuo - - 2008
In the case of patients with Takayasu arteritis (TA), they consult a doctor for the first time when they have a slight fever, shoulder pain, chest pain, back pain, or headache, or when they are pointed out to have high CRP or anemia by chance in medical check-up. In TA, ...
Vijayvergiya Rajesh - - 2009
PURPOSE: Takayasu's arteritis (TA) is a non-specific, chronic, inflammatory panarteritis, affecting the aorta, its major branches and pulmonary arteries. The percutaneous or surgical revascularization in these patients is often difficult and challenging because of diffuse and multi-vessel involvement, difficulty in management of disease activity, and high rate of restenosis and ...
Nakajima Nobuyuki - - 2007
A 45-year-old female was presented with progressive dyspnea and bilateral leg edema. Pulmonary angiography revealed total occlusion of the right pulmonary artery and significant stenosis of the left pulmonary artery. The inferior lobar artery as well as the segmental arteries were well patent. No pathology was detected elsewhere at the ...
Hulusi Melih - - 2007
Takayasu arteritis (TA) is a chronic inflammatory disease involving the aorta and its principal branches, leading to narrowing and occlusion of the vessels. Since the clinical manifestations depend on the location and severity of the lesions, stroke may be the initial presentation of the disease. Here we report the case ...
Canyigit Murat - - 2007
Takayasu arteritis is a rare, large-vessel vasculitis in which the nonspecific systemic inflammatory symptoms are followed by inflammation of the aorta and its major branches. The inflammation of this vessel leads to progressive luminal stenosis or aneurysm formation resulting in limb or organ ischemia. Although conventional angiography is still accepted ...
Chopra Prem - - 2007
Temporal or giant cell arteritis is the most common vasculitis affecting the temporal artery. We encountered an unusual case of involvement of the temporal artery, which showed marked proliferating capillaries admixed with a dense infiltrate of eosinophils affecting all layers of the vessel. It was concluded that these changes were ...
Atluri Pavan - - 2007
Giant cell arteritis increases the risk of developing a thoracic aortic aneurysm. Thoracic aortic aneurysm repair in octogenarians carries a profound increase in postoperative morbidity and mortality. We report the successful repair of an ascending aortic aneurysm in an 83-year-old woman with a history of treatment for temporal arteritis and ...
Díaz-Pérez José L - - 2007
The term polyarteritis nodosa (PAN) presently includes classic systemic PAN, cutaneous PAN, and microscopic PAN (microscopic polyangeiitis). Cutaneous PAN involves the deep dermis and the panniculus, with anatomopathological findings diagnostic for arteritis. The most frequent clinical manifestation of cutaneous PAN is the presence of nodules on the lower legs, which ...
Araki Yoshimori - - 2007
We report a case of a ruptured aortic arch aneurysm due to Takayasu arteritis concomitant with entero-Behçet disease. A 53-year-old woman with total left lung atelectasis underwent emergency total aortic arch replacement with a modified Bentall operation and elephant trunk procedure. The postoperative course was highly eventful. A pseudoaneurysm of ...
Rav-Acha Moshe - - 2007
Coronary involvement may appear in up to a third of patients with Takayasu's arteritis. This affliction may have a dominant impact on the clinical manifestations of the patient. Occlusion of the ostia of the left main coronary artery and of proximal segments of the coronary arteries is the most frequent ...
Chung Jin Wook - - 2007
Although the luminal changes of Takayasu arteritis are well depicted with conventional angiography, its mural changes can be best evaluated with spiral computed tomography (CT) angiography. Here, the authors investigated the patterns of aortic involvement in Takayasu arteritis by using CT angiography. CT angiography was performed from the carotid bifurcation ...
Phade Sachin V - - 2007
Arteritis and mycotic aneurysms have been well described for more than 100 years. The authors report a case of bacterial arteritis that presented with pneumatosis of the aortic wall and that evolved over 1 week into an infected abdominal aortic aneurysm. This case documents the rapid progression from arteritis to ...
Chau Elaine M C - - 2007
Inflammatory or noninfectious aortitis may be idiopathic or it may be part of a systemic autoimmune disease, such as Takayasu's arteritis, Behçet's disease, or giant cell arteritis. At the acute stage, there is thickening of the aortic wall with dilatation of the aorta, more commonly in the thoracic aorta. If ...
Shiraishi Hideaki - - 2007
Landau-Kleffner syndrome (LKS) is a childhood disorder of unknown etiology characterized by an acquired aphasia and epilepsy. We have performed comprehensive neurofunctional studies on an 8-year-old girl with typical LKS, with the aim of identifying lesions that may be responsible for her condition. 18F-fluoro-D-glucose (FDG) positron emission computed tomography (PET), ...
Morinaga Akiyoshi - - 2007
Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis affects vessels of various diameters in various tissues or organs, sometimes associated with neurological complications. A 77-year-old man developed dysphagia, hoarseness, dysgeusia, gait unsteadiness, and right temporalgia; neurological examination revealed multiple cranial neuropathies. Laboratory studies demonstrated severe inflammatory responses, elevation of perinuclear ANCA, and mild ...
Kwon Chang Mo - - 2007
We report a case of giant cell arteritis involving the aorta and several large arteries identified by integrated positron emission tomography (PET)/computed tomography (CT) obtained in a patient with a high erythrocyte sedimentation rate (ESR). A 63-year-old man with anemia and a high ESR noted on a regular medical examination ...
Yoshikai Masaru - - 2007
We herein report a case with an aneurysm of the right sinus of Valsalva, which developed 14 years after an aortic valve replacement (AVR) for aortic regurgitation caused by Takayasu arteritis. The aortic wall around the right coronary artery ostium showed calcification, as a result, the modified Bentall procedure and ...
Vandergheynst F - - 2007
We report the case of a 23-year-old woman who initially presented with Wegener's granulomatosis (WG) limited to the lungs, diagnosed on the basis of a biopsy of an upper left lobe nodule and elevated ANCA titers. Remission occurred under treatment with methylprednisolone and intravenous immunoglobulins. Later in the course of ...
Eberhardt Robert T - - 2007
Giant cell arteritis is a relatively common form of systemic vasculitis, best known for its predisposition to affect the extracranial branches of the carotid artery and associated potential for visual loss. Additional vascular manifestations include stroke, aortic aneurysm or dissection, and even aortic rupture. Cardiac manifestations include coronary artery disease, ...
Mrabet Dalila - - 2007
Inflammatory vasculitis of the central nervous system is exceedingly rare in patients with rheumatoid arthritis (RA). The symptoms may be misleading. Most of the reported cases occurred in males with long-standing, nodular, destructive, rheumatoid factor-positive disease. Severe constitutional symptoms and prominent extraarticular manifestations of vasculitis were usually present. We report ...
Evans Randolph W - - 2007
Primary chronic headaches of long duration include chronic migraine, chronic tension-type headache, new daily persistent headache, and hemicrania continua. This article reviews the utility of neuroimaging and other testing for diagnosis of these headaches. The presentation and diagnosis of the many secondary headaches that can mimic primary headache types are ...
Chaudhry Imtiaz A - - 2007
To study the epidemiology of biopsy-proven giant-cell arteritis (GCA) in an Arab population with clinical features suggestive of GCA. Clinical records of 102 patients who underwent temporal artery biopsy (TAB) at King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia from January 1983 to December 2004 were reviewed. Among the 56 ...
Pettigrew H David - - 2007
Polyarteritis nodosa, as a diagnosis, has been progressively narrowed from a collection of ill-defined vasculitides to its current definition as a systemic transmural necrotizing vasculitis that usually affects medium-sized muscular arteries and sometimes small muscular arteries, commonly within the kidneys, gastrointestinal tract, skin, nerves, joints, and muscles. In this review, ...
Bajocchi G - - 2007
We describe a case of giant cell arteritis (GCA) of the female genital tract. Fluorine-18-fluorodeoxyglucose positron emission tomography (18F-FDG PET) and CT-scan showed evidence of large-vessel vasculitis involving the thoracic aorta and its branches, while temporal artery biopsy showed arteritis despite the absence of clinical manifestations suggestive of GCA. We ...
Di┼čel Umut - - 2007
Retroperitoneal fibrosis (RF) is a clinical entity characterized by the progressive proliferation of connective tissue that rarely forms a mass involving the periaortic area of the abdomen, which may be idiopathic as well as a result of an inflammatory process after aneurysmal dilatation of the aorta. This fibrotic tissue may ...
Schmidt Wolfgang A - - 2007
An increasing number of rheumatologists have access to ultrasound equipment that provide both color and power Doppler modes, which can be used to investigate musculoskeletal and vascular pathologies. Musculoskeletal Doppler ultrasonography can be used to estimate levels of inflammation, to document the anti-inflammatory effect of agents such as corticosteroids and ...
Beheiry Eman Elazab - - 2007
Numerous reports have discussed the use of the temporal fascia in reconstructive surgery, an issue mandating a detailed study of the anatomy of this structure and its vasculature. The material of the present study consisted of 44 specimens, obtained from two stillbirths and 20 embalmed cadavers after injecting the external ...
Bulut S - - 2007
Takayasu's arteritis is a chronic vasculitis of unknown aetiology involving the aorta and its main branches, the pulmonary and coronary tree. Women are affected more often than men (80 to 90% of the cases) with an age onset between 10 and 40 years. This case report demonstrates the limitations of ...
Ando Hiroki - - 2007
Takayasu's arteritis causes various arterial changes, including wall thickening, occlusion, aneurysm, and calcification. Similarly, Leriche's syndrome causes occlusion of the abdominal aorta or iliac arteries accompanied by ischemic symptoms of the distal lower extremities. Both diseases are potentially associated with the development of unexpected collateral arteries throughout the body. We ...
Schwedt Todd J - - 2006
Giant cell, or temporal, arteritis is a vasculitis of the medium and large arteries that preferentially involves vessels originating from the arch of the aorta. Classically, this disease manifests in an older individual with new-onset persistent headache, an abnormal temporal artery on examination, and increased serum inflammatory markers. The level ...
Kalungi S, Kigonya E, ...
We report herein the case of a 23 year old woman who was referred to Mulago National Referral and Faculty of Medicine Makerere University Teaching Hospital because of sudden collapse, left sided weakness and headache for management. The patient underwent a battery of investigations but died five days after admission. ...
Matsubara Kentaro - - 2006
Takayasu arteritis (TA), a primary arteritis of unknown cause, commonly affects the aorta and its main branches. Most patients with TA have stenotic or occlusive changes; aneurysmal degeneration is relatively rare, and renal artery aneurysms are extremely rare. We observed a fusiform, 7-cm renal artery aneurysm in a 57-year-old man ...
Iino Kenji - - 2006
Coronary artery disease is rare in patients with Takayasu's arteritis or Behcet's disease. We report the case of a patient with concomitant Takayasu's arteritis and Behcet's disease who had angina pectoris develop due to severe narrowing of the left main coronary artery. The patient underwent revascularization with saphenous vein grafts ...
Kim Dal-Soo - - 2007
BACKGROUND: We report a case of an adult with MMD who presented initially with left visual field defect that had suddenly progressed to bilateral cortical blindness 1 year and 9 months later. CASE DESCRIPTION: A 33-year-old male presented with visual blurring and mild right hemiparesis that developed suddenly. He was ...
Morris Olivia C - - 2006
Scalp necrosis in patients presenting with clinical features suggestive of giant cell arteritis is rare. The immediate concern is that temporal artery biopsy might further compromise scalp circulation. We report a case of extensive scalp necrosis caused by giant cell arteritis. Temporal artery biopsy performed after 14 days was not ...
Homme James L - - 2006
Only 2 comprehensive surgical series, published in 1977 and 1983, have evaluated clinicopathologic features of the ascending aorta. Retrospective review of medical records and microscopic slides was performed on 513 consecutive patients with surgical resection of ascending aortic tissue (1985 to 1999). Patients were 2 to 89 years old (mean ...
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