Giant Cell Arteritis Presenting with Bilateral Subdural Haematomas of Arterial Origin

  • Ahmed Gabr Department of General Internal Medicine, University Hospital Limerick, Limerick
  • Khalid El Kholy Department of General Internal Medicine, University Hospital Limerick, Limerick
  • James Crotty Department of Radiology, University Hospital Limerick, Limerick
  • Margaret O’Connor Department of Geriatric Medicine, University Hospital Limerick, Limerick
  • Elijah Chaila Department of Neurology, University Hospital Limerick, Limerick

Keywords

Giant cell arteritis, subdural hematoma, arterial origin.

Abstract

Giant cell arteritis or temporal arteritis is an inflammatory condition affecting medium to large sized vessels, particularly the cranial arteries. A 76-year-old man with no significant past medical history presented to the emergency department with a 3-week history of diffuse headaches associated with fever, loss of appetite, weight loss and general malaise. A CT scan of the brain showed bilateral shallow chronic low density subdural haematomas. A complete laboratory panel was unremarkable except for a raised erythrocyte sedimentation rate and elevated C-reactive protein. A transthoracic echocardiogram and CT scan of the body were unremarkable. MRI of the brain confirmed bilateral old subdural collections and showed marked vessel wall enhancement in the frontal branches of the left superficial temporal artery. A left temporal artery biopsy confirmed giant cell temporal arteritis. We speculate that a vasculitic process in the small subdural arteries may have contributed to our patient’s spontaneous subdural haematomas.

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  • Published: 2016-07-27

    Issue: Vol. 3 No. 5 (view)

    Section: Articles

    How to cite:
    1.
    Gabr A, El Kholy K, Crotty J, O’Connor M, Chaila E. Giant Cell Arteritis Presenting with Bilateral Subdural Haematomas of Arterial Origin. EJCRIM 2016;3 doi:10.12890/2016_000441.