Giant-cell arteritis presenting with ipsilateral hemiplegia and lateral medullary syndrome.
We describe the clinical and anatomopathological findings in an 85-year-old male presenting with a lateral medullary syndrome and ipsilateral hemiplegia (Opalski's syndrome) due to giant-cell arteritis of the vertebral artery. Other common associated symptoms of the disease were absent, and the erythrocyte sedimentation rate was only of 30 mm/h. This case emphasizes that limited intracranial giant-cell arteritis may present rarely as a stroke.
Collado
A
A
Department of Neurology, Hospital Clinico y Provincial, Barcelona, Spain.
Santamaria
J
J
Ribalta
T
T
Cinta Cid
M
M
Cañete
J D
JD
Tolosa
E
E
D000368:Aged; D000369:Aged, 80 and over; D002561:Cerebrovascular Disorders / Q000209:etiology*; D013700:Giant Cell Arteritis / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D006429:Hemiplegia / Q000209:etiology*; D006801:Humans; D014854:Lateral Medullary Syndrome / Q000209:etiology; D008297:Male