Which nervous system complications may result from giant cell arteritis (GCA) (temporal arteritis)?

Updated: Sep 03, 2020
  • Author: Mythili Seetharaman, MD; Chief Editor: Herbert S Diamond, MD  more...
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Answer

Nervous system alterations are found in as many as 30% of patients; 14% have either mononeuritis or polyneuropathy, and 7% have transient ischemic attacks or strokes. [49] Strokes from GCA may lead to multi-infarct dementia. Solans-Laqué et al report 7 patients with biopsy-proven GCA who presented with stroke or multi-infarct dementia. [50] Rare but serious complications include myocardial infarction (MI) and visceral organ ischemia (eg, small-bowel infarction). [51, 52, 20]


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