Posterior Circulation Stroke in a Patient With Giant Cell Arteritis: A Case Report

We present the case of a 95-year-old woman with recently diagnosed giant cell arteritis (GCA) who developed a posterior circulation stroke. She initially experienced visual disturbances and was treated with high-dose corticosteroids after a temporal artery ultrasound confirmed the diagnosis. Two weeks later, she developed sudden left-sided weakness and unsteadiness. Imaging revealed an acute infarct in the left cerebellar hemisphere. During admission, atrial fibrillation was also detected. This case highlights the diagnostic challenge of stroke in GCA, where both vascular inflammation and coexisting cardioembolic risk factors can contribute to cerebrovascular events.

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Publication Details

Journal
Cureus
Published
2026-02-23
DOI
https://doi.org/10.7759/cureus.104110
Primary Topic
Vasculitis and related conditions
Type
article
Field-Weighted Citation Impact
0.00
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article

Posterior Circulation Stroke in a Patient With Giant Cell Arteritis: A Case Report

Ling Fung Chan, Sameer Almashta, Sonakshi Nemchand, Siddharth Munsuri
Cureus
Vasculitis and related conditions
article

Posterior Circulation Stroke in a Patient With Giant Cell Arteritis: A Case Report

Ling Fung Chan, Sameer Almashta, Sonakshi Nemchand, Siddharth Munsuri
article en

Abstract

We present the case of a 95-year-old woman with recently diagnosed giant cell arteritis (GCA) who developed a posterior circulation stroke. She initially experienced visual disturbances and was treated with high-dose corticosteroids after a temporal artery ultrasound confirmed the diagnosis. Two weeks later, she developed sudden left-sided weakness and unsteadiness. Imaging revealed an acute infarct in the left cerebellar hemisphere. During admission, atrial fibrillation was also detected. This case highlights the diagnostic challenge of stroke in GCA, where both vascular inflammation and coexisting cardioembolic risk factors can contribute to cerebrovascular events.

CureusVol. 18(2)
Wrexham Maelor Hospital (GB)
Good health and well-being
Openalex Percentile: Top 46%
Vasculitis and related conditions
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