Superficial Temporal Artery Dilatation in a Patient with Infectious Temporal Headache Clinically Mimicking Temoral Arteritis

YAZAWA Shogo, KAWASAKI Shoichiro, KOGA Haruyuki, IGAWA Kaori

doi:10.2169/internalmedicine.39.583

Superficial Temporal Artery Dilatation in a Patient with Infectious Temporal Headache Clinically Mimicking Temoral Arteritis

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YAZAWA Shogo

the Departments of Neurology, Miyazaki Prefectural Hospital of Nobeoka
KAWASAKI Shoichiro

the Departments of Neurology, Miyazaki Prefectural Hospital of Nobeoka
KOGA Haruyuki

the Departments of Radiology, Miyazaki Prefectural Hospital of Nobeoka
IGAWA Kaori

the Departments of Oral and Maxillofacial Surgery, Miyazaki Prefectural Hospital of Nobeoka

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タイトル別名

Superficial Temporal Artery Dilatation in a Patient with Infectious Temporal Headache Clinically Mimicking Temporal Arteritis.

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説明

A 57-year-old woman noticed a pulsatile shooting headache in her right temporal region 3 days after extraction of a tooth from the right mandibula. The following day, a localized headache over the right superficial temporal artery (STA), low grade fever, and jaw claudication appeared and progressed subacutely. Seven days after the onset, magnetic resonance imaging and angiography (MRI/MRA) disclosed inflammatory swelling of the right temporal muscle and dilatation of the right STA. All the symptoms disappeared following antibiotic treatment, and neuroimaging findings were improved. In conclusion, MRA is thought to be useful to non-invasively identify reversible inflammatory dilatation of extracranial vessels.<br>(Internal Medicine 39: 583-586, 2000)