Unilateral carotid granulomatous arteritis and Crohn's disease.
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.
Gobron
C
C
Service de neurologie, hôpital Lariboisière, Assistance publique-Hôpitaux de Paris, 2, rue Ambroise-Paré, 75010 Paris, France. clarie.gobron@lrb.aphp.fr
Kaci
R
R
Sokol
H
H
Vahedi
K
K
Lejoyeux
P
P
Guillaud
C
C
Wechsler
B
B
Gray
F
F
Bousser
M-G
MG
D002340:Carotid Artery Diseases / Q000150:complications / Q000473:pathology*; D002533:Cerebral Angiography; D003424:Crohn Disease / Q000150:complications / Q000473:pathology*; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D007150:Immunohistochemistry; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009069:Movement Disorders / Q000209:etiology; D012008:Recurrence; D020521:Stroke / Q000150:complications / Q000473:pathology; D020293:Vasculitis, Central Nervous System / Q000150:complications / Q000473:pathology*