Unilateral carotid granulomatous arteritis and Crohn's disease.
Revue Neurologique(2010)
Abstract
Chronic idiopathic granulomatous arteritis of the large vessels – and, specifically, “Takayasu's arteritis” and “giant cell arteritis” – is an unusual condition that rarely leads to stroke and is only occasionally associated with Crohn's disease. We report here on a unique case of a 56-year-old man with a 25-year history of Crohn's disease who also had a 4-year history of recurrent right-sided ischaemic strokes and partial seizures, and a unilateral progressive retrograde occlusion of the right internal and common carotid arteries. Biopsies of the temporal and carotid arteries showed large-vessel granulomatous arteritis, with features of both giant cell and Takayasu's arteritis.
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Key words
Cerebrovascular disease,Internal medicine,Crohn's disease,Granulomatous arteritis,Unilateral carotid occlusion
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