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Age and Ageing Advance Access published online on October 25, 2007
Age and Ageing, doi:10.1093/ageing/afm136
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Copyright © The Author 2007. Published by Oxford University Press on behalf of the British Geriatrics Society.

Case Report

Insidious posterior circulation stroke with rapid deterioration due to vertebral giant cell arteritis

Anil Kumar1, and Domnick D. Costa2

1 SpR, Care of Elderly, University Hospitals of North Staffordshire, Stoke on Trent, West Midlands, UK
2 Consultant Geriatrician, New Cross Hospital, Wolverhampton, West Midlands, UK

Address correspondence to: Anil Kumar. Tel: 01782-715444; Fax: 01782-553587. Email: anilkumaruk{at}hotmail.com

Abstract

We report a patient with a posterior circulation stroke that presented insidiously, progressed rapidly and had an unusual aetiology of vertebral giant cell arteritis that was not recognised in a timely fashion. General awareness of this cause might alert clinicians to consider the diagnosis in similar cases, as prompt intervention may improve outcomes.

Keywords: giant cell arteritis, bilateral vertebral artery occlusion, stroke in the posterior circulation, elderly

Received 30 December 2006; accepted in revised form 12 July 2007.


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