Vertebral Artery Halo Sign in Patients With Stroke: A Key Clue for the Prompt Diagnosis of Giant Cell Arteritis

J. Garcia-Garcia, O. Ayo-Martin, L. Argandona-Palacios, T. Segura
2011 Stroke  
and Purpose-The purpose of this study was to describe typical ultrasonographic findings of vertebral arteries in patients affected by giant cell arteritis. Methods-Color duplex sonography was used to asses the cervical arteries within 24 hours from stroke onset in 1237 patients. Vertebral arteritis was considered if concentric, homogeneous, and smooth hypoechogenic mural thickening (the so-called halo sign) was present in at least 1 cervical segment of the vertebral artery. If the patient
more » ... such findings, an ultrasound examination of the temporal artery was also performed. Patients with probable giant cell arteritis were treated with high-dose intravenous methylprednisolone in association with antiplatelet therapy. Temporal artery biopsy was carried out by a vascular surgeon in the site targeted by the ultrasonographer.
doi:10.1161/strokeaha.111.625152 pmid:21940968 fatcat:irypbsppb5h4hk4dc5dcba23oe