When Occipital Artery Biopsy is Preferred to Temporal Biopsy for Giant Cell Arteritis: A Step-By-Step Description of the Surgical Technique

May Dvir MS , Ghaith Almhanni MD , Huzaif Qaisar MBBS , Andrew Calvin MD , Tiziano Tallarita MD
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Abstract

Giant cell arteritis is an autoimmune disease that affects large and medium blood vessels of the head and neck. Its prompt treatment is mandatory to avoid severe and permanent complications, such as blindness. Temporal artery biopsy is an important part of the diagnostic work-up, especially in those patients with cranial symptoms or in the elderly with a fever of unknown origin. Most patients have signs and symptoms matching the distribution of their arterial involvement. In the case scenario of occipital headache or nuchal pain, a biopsy of the occipital artery may be preferred to a temporal artery biopsy. This article provides important anatomical details of the course of the occipital artery and explains, in a stepwise fashion, how to perform an occipital artery biopsy.

巨细胞动脉炎的枕动脉活检何时优于颞动脉活检?手术技术步骤说明
巨细胞动脉炎是一种影响头颈部大、中血管的自身免疫性疾病。为避免出现严重的永久性并发症,如失明,必须对其进行及时治疗。颞动脉活检是诊断工作的重要组成部分,尤其是对有头颅症状的患者或发热原因不明的老年人。大多数患者的体征和症状与动脉受累的分布相吻合。在枕部头痛或颈部疼痛的病例中,枕动脉活检可能优于颞动脉活检。本文提供了枕动脉走向的重要解剖细节,并循序渐进地解释了如何进行枕动脉活检。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Mayo Clinic proceedings. Innovations, quality & outcomes
Mayo Clinic proceedings. Innovations, quality & outcomes Surgery, Critical Care and Intensive Care Medicine, Public Health and Health Policy
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