title: A hidden giant: Wallenberg syndrome and aortal wall thickening as an atypical presentation of a giant cell arteritis.
abstract: We report a case of a 73-year-old woman with a brainstem stroke presenting as Wallenberg syndrome. By transoesophageal echocardiography and combined 18F-fluordeoxyglucose positron emission and CT (18F-FDG PET/CT), the diagnosis of large artery vasculitis owing to giant cell arteritis was confirmed. In the absence of classical clinical signs, the examination of the large extracranial vessels by ultrasound and 18F-FDG PET/CT played the key role in detecting a widespread vasculitis.
authors: Department of Neurology, Charité Universitätsmedizin Berlin, Berlin, Germany.
authors: Katharina Luisa
authors: KL
authors: Stengl
authors: Ralph
authors: R
authors: Buchert
authors: Hans
authors: H
authors: Bauknecht
authors: Jan
authors: J
authors: Sobesky
mesh_terms: D000368:Aged; D001706:Biopsy; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D005260:Female; D019788:Fluorodeoxyglucose F18; D013700:Giant Cell Arteritis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D014854:Lateral Medullary Syndrome / Q000175:diagnosis* / Q000209:etiology*; D064847:Multimodal Imaging; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals; D013256:Steroids / Q000627:therapeutic use; D020521:Stroke / Q000209:etiology*; D014057:Tomography, X-Ray Computed
chemical_list: D019275:Radiopharmaceuticals; D013256:Steroids; D019788:Fluorodeoxyglucose F18