Arteries of the head and neck in giant cell arteritis. A pathological study to show the pattern of arterial involvement.
Arteries of the head and neck in giant cell arteritis. A pathological study to show the pattern of arterial involvement.
复制标题
巨细胞动脉炎中的头颈动脉。
作者：
I. M. Wilkinson;R. Russell
在巨细胞动脉炎活动期死亡的患者中，颞浅动脉、椎动脉、眼动脉和睫状后动脉严重受累的发生率非常高。颈内动脉、颈外动脉和视网膜中央动脉的严重受累较少见。颅内动脉从来没有涉及的情况下，研究，虽然轻度参与是罕见的文献报道。动脉受累的模式反映在死于该病的严重受累患者中单眼失明、枕盲和脑干卒中（包括延髓外侧综合征）的高发病率。巨细胞动脉炎的易感性与头颈部动脉中膜和外膜中弹性组织的数量密切相关。
In patients dying during the active phase of giant cell arteritis there was a very high incidence of severe involvement of the superficial temporal, vertebral, ophthalmic, and posterior ciliary arteries. The internal carotid, external carotid, and central retinal arteries were less commonly severely involved. The intracranial arteries were never involved in the cases studied, though mild involvement is reported infrequently in the literature. The pattern of arterial involvement was reflected by the high incidence of monocular blindness, occipital blindness, and brain stem strokes (including the lateral medullary syndrome) in severely affected patients dying of the disease. There appeared to be a close correlation between the susceptibility to giant cell arteritis and the amount of elastic tissue in the media and adventitia of the individual arteries of the head and neck.