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Lessons of the month: Giant cell arteritis with Horner's syndrome and vertebral dissection

Kriti Vaidya, Shivani Gor, Azeem Ahmed and Amir Waheed
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DOI: https://doi.org/10.7861/clinmed.2022-0479
Clin Med January 2023
Kriti Vaidya
AGreat Western Hospital, Swindon, UK
Roles: clinical teaching fellow
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  • For correspondence: kriti.vaidya@nhs.net
Shivani Gor
BGreat Western Hospital, Swindon, UK
Roles: rheumatology registrar
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Azeem Ahmed
CGreat Western Hospital, Swindon, UK
Roles: consultant rheumatologist
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Amir Waheed
DGreat Western Hospital, Swindon, UK
Roles: consultant in acute and general internal medicine
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    Fig 1.

    CT Angio of aortic arch and carotid artery both showing appearances of upper left vertebral artery short segment dissection (yellow arrow).

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    Fig 2.

    Left vertebral artery dissection on contrast-enhanced MR angiography (CE- MRA).

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    Fig 3.

    Left temporal artery biopsy showing giant cell arteritis. a) At 10× magnification thickened arterial wall with narrowed lumen. b) At 200× magnification showing disruption of wall architecture and focally dense lymphoid cell collection with multiple multinucleated giant cells in the wall.

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Lessons of the month: Giant cell arteritis with Horner's syndrome and vertebral dissection
Kriti Vaidya, Shivani Gor, Azeem Ahmed, Amir Waheed
Clinical Medicine Jan 2023, 23 (1) 94-96; DOI: 10.7861/clinmed.2022-0479

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Lessons of the month: Giant cell arteritis with Horner's syndrome and vertebral dissection
Kriti Vaidya, Shivani Gor, Azeem Ahmed, Amir Waheed
Clinical Medicine Jan 2023, 23 (1) 94-96; DOI: 10.7861/clinmed.2022-0479
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