Neurologic manifestations of giant cell arteritis
Antoine Soulages1, Igor Sibon2, Jean-Michel Vallat3
1Department of Neurology, Competence Center for Neuromuscular Diseases, 'Côte Basque' Hospital (CH Bayonne), 13 Av. de l'Interne Jacques Loeb, 64100, Bayonne, France.
Insights
Giant cell arteritis (GCA) is a common vasculitis in older adults, often causing neurological issues. This review details cranial and extracranial GCA complications to aid diagnosis.
Area of Science:
- Neurology
- Rheumatology
- Internal Medicine
Background:
- Giant cell arteritis (GCA) is the most common vasculitis in individuals over 50.
- It involves large and medium-sized vessels, primarily cranial arteries.
- GCA presents with diverse neurological symptoms affecting the central and peripheral nervous systems.
Purpose of the Study:
- To review the cranial and extracranial neurological complications of GCA.
- To highlight diagnostic challenges and pitfalls in managing GCA.
Main Methods:
- Literature review of GCA, focusing on neurological manifestations.
- Synthesis of clinical presentations and diagnostic considerations.
Main Results:
- GCA can lead to a wide spectrum of neurological deficits.
- Early recognition and diagnosis are crucial to prevent irreversible damage.
Conclusions:
- Neurological complications are a significant feature of GCA.
- Awareness of these complications is essential for timely diagnosis and treatment to avoid diagnostic pitfalls.
Abstract:
Giant cell arteritis, the most frequent form of vasculitis in persons over 50 years of age, is a granulomatous chronic vasculitis involving large and medium-sized vessels, most commonly the temporal and other cranial arteries. This common, treatable condition is associated with various clinical symptoms, including neurological ones, affecting both the central and peripheral nervous systems. In this review, we discuss the cranial and extra cranial neurological complications of giant cell arteritis, to help avoid the many pitfalls in the diagnosis of giant cell arteritis.
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