Steroid-responsive large vessel vasculitis: application of whole-brain 320-detector row dynamic volume CT angiography and perfusion.
A patient with suspected giant cell arteritis and prior negative findings on superficial temporal artery biopsy was evaluated with 320-detector row CT angiography (CTA) and whole-brain perfusion. Corticosteroid treatment was initiated on the basis of CT angiography findings of arteritis and a cortical perfusion deficit. The patient's symptoms and perfusion imaging findings resolved following therapy. Whole-brain CTA and imaging was helpful in the diagnosis and monitoring this patient with suspected vasculitis.
Yahyavi-Firouz-Abadi
N
N
Department of Radiology, Applied Imaging Science Laboratory, Brigham and Women's Hospital, Boston, Mass 02115, USA.
Wynn
B L
BL
Rybicki
F J
FJ
Steigner
M L
ML
Hussain
A Z
AZ
Mather
R
R
Hanson
E H
EH
Ansarinia
M
M
Orrison
W W
WW
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D000328:Adult; D002533:Cerebral Angiography / Q000379:methods*; D002561:Cerebrovascular Disorders / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D008297:Male; D055420:Perfusion Imaging / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014657:Vasculitis / Q000000981:diagnostic imaging* / Q000188:drug therapy*
D000305:Adrenal Cortex Hormones