Maxillary Artery Involvement in Giant Cell Arteritis Demonstrated by Ultrasonography
We describe two cases of giant cell arteritis where involvement of the superficial temporal artery and maxillary artery were demonstrated using colour doppler ultrasonography. Maxillary artery involvement is responsible for the symptoms of jaw claudication and toothache, and even headaches might be...
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Veröffentlicht in: | The Journal of the Royal College of Physicians of Edinburgh 2021-12, Vol.51 (4), p.368-368 |
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creator | Chen-Xu, Michael Coath, Fiona L Ducker, Georgina Fordham, Sarah Mukhtyar, Chetan B |
description | We describe two cases of giant cell arteritis where involvement of the superficial temporal artery and maxillary artery were demonstrated using colour doppler ultrasonography. Maxillary artery involvement is responsible for the symptoms of jaw claudication and toothache, and even headaches might be due to the involvement of the middle meningeal artery which is a branch of the maxillary artery. The maxillary artery has been difficult to visualise until now. There are international consensus definitions of ultrasonographic abnormalities seen in the superficial temporal artery affected by giant cell arteritis. We have used those definitions to demonstrate hypoechoic changes in the maxillary artery affected by giant cell arteritis. The maxillary artery can be visualised in the infratemporal fossa from an echo window between the condylar and coronoid processes of the mandible. This is the first proof of concept evidence that maxillary arteries can be visualised using bedside ultrasonography in giant cell arteritis. |
doi_str_mv | 10.4997/jrcpe.2021.410 |
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Maxillary artery involvement is responsible for the symptoms of jaw claudication and toothache, and even headaches might be due to the involvement of the middle meningeal artery which is a branch of the maxillary artery. The maxillary artery has been difficult to visualise until now. There are international consensus definitions of ultrasonographic abnormalities seen in the superficial temporal artery affected by giant cell arteritis. We have used those definitions to demonstrate hypoechoic changes in the maxillary artery affected by giant cell arteritis. The maxillary artery can be visualised in the infratemporal fossa from an echo window between the condylar and coronoid processes of the mandible. This is the first proof of concept evidence that maxillary arteries can be visualised using bedside ultrasonography in giant cell arteritis.</description><identifier>ISSN: 1478-2715</identifier><identifier>EISSN: 2042-8189</identifier><identifier>DOI: 10.4997/jrcpe.2021.410</identifier><identifier>PMID: 34882135</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Giant Cell Arteritis - complications ; Giant Cell Arteritis - diagnostic imaging ; Humans ; Maxillary Artery - diagnostic imaging ; Temporal Arteries - diagnostic imaging ; Ultrasonography ; Ultrasonography, Doppler, Color</subject><ispartof>The Journal of the Royal College of Physicians of Edinburgh, 2021-12, Vol.51 (4), p.368-368</ispartof><rights>2021 Royal College of Physicians of Edinburgh</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c268t-959a1101c25906244ab44bfe1b45fa1ef7930dec840f28e46e93b358f738a0ae3</citedby><cites>FETCH-LOGICAL-c268t-959a1101c25906244ab44bfe1b45fa1ef7930dec840f28e46e93b358f738a0ae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.4997/jrcpe.2021.410$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.4997/jrcpe.2021.410$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34882135$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen-Xu, Michael</creatorcontrib><creatorcontrib>Coath, Fiona L</creatorcontrib><creatorcontrib>Ducker, Georgina</creatorcontrib><creatorcontrib>Fordham, Sarah</creatorcontrib><creatorcontrib>Mukhtyar, Chetan B</creatorcontrib><title>Maxillary Artery Involvement in Giant Cell Arteritis Demonstrated by Ultrasonography</title><title>The Journal of the Royal College of Physicians of Edinburgh</title><addtitle>J R Coll Physicians Edinb</addtitle><description>We describe two cases of giant cell arteritis where involvement of the superficial temporal artery and maxillary artery were demonstrated using colour doppler ultrasonography. Maxillary artery involvement is responsible for the symptoms of jaw claudication and toothache, and even headaches might be due to the involvement of the middle meningeal artery which is a branch of the maxillary artery. The maxillary artery has been difficult to visualise until now. There are international consensus definitions of ultrasonographic abnormalities seen in the superficial temporal artery affected by giant cell arteritis. We have used those definitions to demonstrate hypoechoic changes in the maxillary artery affected by giant cell arteritis. The maxillary artery can be visualised in the infratemporal fossa from an echo window between the condylar and coronoid processes of the mandible. This is the first proof of concept evidence that maxillary arteries can be visualised using bedside ultrasonography in giant cell arteritis.</description><subject>Giant Cell Arteritis - complications</subject><subject>Giant Cell Arteritis - diagnostic imaging</subject><subject>Humans</subject><subject>Maxillary Artery - diagnostic imaging</subject><subject>Temporal Arteries - diagnostic imaging</subject><subject>Ultrasonography</subject><subject>Ultrasonography, Doppler, Color</subject><issn>1478-2715</issn><issn>2042-8189</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1PwzAYhC0EoqWwMqLsKMGfjT1WBQpSEUs7W076uqRyPmSnFf33uATYmO6Gu5PuQeiW4IwrlT_sfNlBRjElGSf4DI0p5jSVRKpzNCY8lynNiRihqxB2GAucU3WJRoxLSQkTY7R6M5-Vc8Yfk5nvIcprc2jdAWpo-qRqkkVlopmDc0Og6quQPELdNqH3podNUhyTtYs-tE279ab7OF6jC2tcgJsfnaD189Nq_pIu3xev89kyLelU9qkSyhCCSUmFwlPKuSk4LyyQggtrCNhcMbyBUnJsqQQ-BcUKJqTNmTTYAJugbNgtfRuCB6s7X9XxiyZYn_Dobzz6hEdHPLFwNxS6fVHD5i_-yyMG7odAMFvQu3bvm3jgv7kv61pwnw</recordid><startdate>202112</startdate><enddate>202112</enddate><creator>Chen-Xu, Michael</creator><creator>Coath, Fiona L</creator><creator>Ducker, Georgina</creator><creator>Fordham, Sarah</creator><creator>Mukhtyar, Chetan B</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>202112</creationdate><title>Maxillary Artery Involvement in Giant Cell Arteritis Demonstrated by Ultrasonography</title><author>Chen-Xu, Michael ; Coath, Fiona L ; Ducker, Georgina ; Fordham, Sarah ; Mukhtyar, Chetan B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c268t-959a1101c25906244ab44bfe1b45fa1ef7930dec840f28e46e93b358f738a0ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Giant Cell Arteritis - complications</topic><topic>Giant Cell Arteritis - diagnostic imaging</topic><topic>Humans</topic><topic>Maxillary Artery - diagnostic imaging</topic><topic>Temporal Arteries - diagnostic imaging</topic><topic>Ultrasonography</topic><topic>Ultrasonography, Doppler, Color</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen-Xu, Michael</creatorcontrib><creatorcontrib>Coath, Fiona L</creatorcontrib><creatorcontrib>Ducker, Georgina</creatorcontrib><creatorcontrib>Fordham, Sarah</creatorcontrib><creatorcontrib>Mukhtyar, Chetan B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>The Journal of the Royal College of Physicians of Edinburgh</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen-Xu, Michael</au><au>Coath, Fiona L</au><au>Ducker, Georgina</au><au>Fordham, Sarah</au><au>Mukhtyar, Chetan B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maxillary Artery Involvement in Giant Cell Arteritis Demonstrated by Ultrasonography</atitle><jtitle>The Journal of the Royal College of Physicians of Edinburgh</jtitle><addtitle>J R Coll Physicians Edinb</addtitle><date>2021-12</date><risdate>2021</risdate><volume>51</volume><issue>4</issue><spage>368</spage><epage>368</epage><pages>368-368</pages><issn>1478-2715</issn><eissn>2042-8189</eissn><abstract>We describe two cases of giant cell arteritis where involvement of the superficial temporal artery and maxillary artery were demonstrated using colour doppler ultrasonography. Maxillary artery involvement is responsible for the symptoms of jaw claudication and toothache, and even headaches might be due to the involvement of the middle meningeal artery which is a branch of the maxillary artery. The maxillary artery has been difficult to visualise until now. There are international consensus definitions of ultrasonographic abnormalities seen in the superficial temporal artery affected by giant cell arteritis. We have used those definitions to demonstrate hypoechoic changes in the maxillary artery affected by giant cell arteritis. The maxillary artery can be visualised in the infratemporal fossa from an echo window between the condylar and coronoid processes of the mandible. This is the first proof of concept evidence that maxillary arteries can be visualised using bedside ultrasonography in giant cell arteritis.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>34882135</pmid><doi>10.4997/jrcpe.2021.410</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Giant Cell Arteritis - complications Giant Cell Arteritis - diagnostic imaging Humans Maxillary Artery - diagnostic imaging Temporal Arteries - diagnostic imaging Ultrasonography Ultrasonography, Doppler, Color |
title | Maxillary Artery Involvement in Giant Cell Arteritis Demonstrated by Ultrasonography |
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