Giant Cell Arteritis Presenting with Rapidly Progressive Stenoses of the Bilateral Internal Carotid and Vertebral Arteries

Kim, Jeong Seob; Jeong, Da Eun; Lee, Seul; Lee, Jung Sun

doi:2026.44.4.343

J Korean Neurol Assoc > Volume 44(4); 2026 > Article

Case Report

Journal of the Korean Neurological Association 2026;44(4): 343-348. doi: https://doi.org/10.17340/jkna.2026.0034

양측 내경동맥 및 척추동맥의 급속 진행 협착을 보인 거대세포동맥염

김정섭¹, 정다은¹, 이 슬¹, 이정선²

¹중앙보훈병원 신경과
²중앙보훈병원 류마티스내과

Giant Cell Arteritis Presenting with Rapidly Progressive Stenoses of the Bilateral Internal Carotid and Vertebral Arteries

Jeong Seob Kim MD¹, Da Eun Jeong MD¹, Seul Lee MD¹, Jung Sun Lee MD, PhD²

¹Department of Neurology, Veterans Health Service Medical Center, Seoul, Korea
²Division of Rheumatology, Department of Internal Medicine, Veterans Health Service Medical Center, Seoul, Korea

Corresponding Author: Da Eun Jeong ,Tel: +82-2-2225-4541, Fax: +82-2-2225-4547, Email: doctorjung86@gmail.com

Received: April 30, 2026 Revised: August 3, 2026 Accepted: August 5, 2026 Published online: November 1, 2026

Abstract

We report an 80-year-old man with giant cell arteritis without classic cranial symptoms, who presented with progressive dizziness and orthostatic syncope and showed rapidly progressive stenosis of the bilateral internal carotid and vertebral arteries within 1 year; diagnosis was established by temporal artery biopsy and ultrasonography, with subsequent clinical and laboratory improvement after methylprednisolone and tocilizumab.

Key Words: Giant cell arteritis | Vasculitis | Intracranial arterial diseases