What Is Temporal Arteritis?

1. Limb paralysis: it can be central hemiplegia, uniplegia, triplegia, bilateral upper or lower limb paralysis, bilateral paralysis, with symptoms of hemiplegia, hemiplegia, increased intracranial pressure, and can also manifest as seizures, ADHD shape.

Cerebral arteritis

Cerebral arteritis is a cerebrovascular disease caused by stenosis, occlusion, ischemia and infarction of cerebral tissues in the blood supply area due to infection, drugs or allergies, etc., and is mainly manifested by limb paralysis, aphasia and mental symptoms. .

Western Medicine Name: Cerebral arteritis
Affiliated Department: Internal Medicine-Neurology
Disease site: head
The main symptoms: Paralysis, aphasia

Main cause: Infections, drugs
Multiple groups: Children and young adults
Contagious: Non-contagious
Whether to enter health insurance: Yes

Clinical manifestations of cerebral arteritis

2, aphasia: all kinds of aphasia can occur, but the majority of motor aphasia, can be associated with pseudobulbar palsy, cranial nerve palsy symptoms.

3. Psychiatric symptoms: unresponsiveness, sluggishness, smirk, loss of intelligence, disorientation, calculation, and memory, and even hallucinations and delusions, which can be accompanied by varying degrees of consciousness disturbance.

Cerebral arteritis disease classification

1. Leptospira cerebral arteritis: History of close contact with epidemic water. It is more common in children under 12 years old, and it is more common in winter. It usually occurs 2 to 5 months after the peak of summer epidemic. There are precursor symptoms such as fever, headache and body pain before onset. The clinical manifestations have the characteristics of acute cerebrovascular disease, which can be hemiplegia, bihemiparesis, aphasia or transient ischemic attack. Serum Leptospira coagulation test and complement binding test were positive. The cerebral aorta showed multiple arteritis changes during cerebral angiography.

2, lupus erythematosus cerebral arteritis: more common in women. Symptoms of connective tissue disease and neuropsychiatric symptoms. Lupus cells were found in blood or bone marrow. Immunoglobulin increased and antinuclear antibodies were positive. C4 complement in blood and cerebrospinal fluid decreased.

3, nodular polyarteritis: more common in men 30 to 40 years old. Nodules along the arteries appear on the skin, such as the size of soybeans, with pain and tenderness, accompanied by spot rash, pimples, and purpura. Visceral kidney damage (hematuria, proteinuria, azotemia), respiratory system (hemopysis, asthma, pleurisy), and digestive system (nausea, abdominal pain, vomiting blood) appear. symptoms of diffuse brain damage, such as epilepsy, headache, hemiplegia, aphasia, ataxia, mental symptoms. Tissue biopsy is helpful for diagnosis.

4, multiple arteritis: more common in women under 30 years of age. Repetitive transient ischemic attacks eventually lead to cerebral infarction. The affected side's arterial pulsation weakened or disappeared, and the blood pressure in the upper limbs decreased or could not be measured. There is vascular noise in the neck or in the upper and lower areas of the collarbone. Arteriography can confirm the diagnosis.

5, temporal arteritis: more common in women over 60 years of age. Redness, swelling and tenderness in the temporal arteries, severe temporal pain, pulsatile, aggravation when chewing, can be accompanied by visual impairment, ischemic stroke performance and multiple muscle pain. ESR increased rapidly.

6, non-specific occlusive cerebral arteritis ^[1] : more common in children or young adults. Transient ischemic attack, progressive stroke, and complete stroke often occur repeatedly. The symptoms are diffuse and diverse. Cerebral angiography showed irregularities in the lumen of most cerebral arteries (mainly small and medium arteries). Narrow and occlusive.

Cerebral arteritis diagnosis points

Incidence characteristics: more common in children and young adults, slightly more men; onset can be acute and slow, symptoms are complex and changeable, may have a history of leptospirosis, lupus erythematosus, nodular polyarteritis.

Cerebral arteritis auxiliary examination

1. ESR is more rapid.

2. CT of the skull can detect cerebral infarction.

Cerebral arteritis disease treatment

Pay attention to rest, perform functional exercises on paralyzed limbs; prevent bedsores; strengthen nutrition, eat high protein and high vitamin foods.