{"id":"https://openalex.org/W7211889343","doi":"https://doi.org/10.2169/internalmedicine.7447-26","title":"A Diagnostic Approach to Giant Cell Arteritis Initially Presenting with Infarction without Headache Using MR Vessel Wall Imaging and a Temporal Artery Biopsy: A Case Report","display_name":"A Diagnostic Approach to Giant Cell Arteritis Initially Presenting with Infarction without Headache Using MR Vessel Wall Imaging and a Temporal Artery Biopsy: A Case Report","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7211889343","doi":"https://doi.org/10.2169/internalmedicine.7447-26","pmid":"https://pubmed.ncbi.nlm.nih.gov/42716740"},"language":"en","primary_location":{"id":"doi:10.2169/internalmedicine.7447-26","doi":"https://doi.org/10.2169/internalmedicine.7447-26","is_oa":true,"landing_page_url":"https://doi.org/10.2169/internalmedicine.7447-26","pdf_url":"https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7447-26/_pdf","source":{"id":"https://openalex.org/S154471048","display_name":"Internal Medicine","issn_l":"0918-2918","issn":["0918-2918","1349-7235"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310313351","host_organization_name":"The Japanese Society of Internal Medicine","host_organization_lineage":["https://openalex.org/P4310313351"],"host_organization_lineage_names":["The Japanese Society of Internal Medicine"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7447-26/_pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5037247743","display_name":"Masaomi Yamamoto","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405282892","display_name":"Saitama Medical Center, Saitama Medical University","ror":"https://ror.org/00ma6wk53","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405282892"]},{"id":"https://openalex.org/I8588240","display_name":"Saitama Medical University","ror":"https://ror.org/04zb31v77","country_code":"JP","type":"education","lineage":["https://openalex.org/I8588240"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Masaomi Yamamoto","raw_affiliation_strings":["Department of Neurology, Saitama Medical Center, Saitama Medical University, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Saitama Medical Center, Saitama Medical University, Japan","institution_ids":["https://openalex.org/I4405282892","https://openalex.org/I8588240"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044170886","display_name":"Tomohisa Dembo","orcid":"https://orcid.org/0000-0002-9097-5017","observed_orcids":["https://orcid.org/0000-0002-9097-5017"]},"institutions":[{"id":"https://openalex.org/I4405282892","display_name":"Saitama Medical Center, Saitama Medical University","ror":"https://ror.org/00ma6wk53","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405282892"]},{"id":"https://openalex.org/I8588240","display_name":"Saitama Medical University","ror":"https://ror.org/04zb31v77","country_code":"JP","type":"education","lineage":["https://openalex.org/I8588240"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tomohisa Dembo","raw_affiliation_strings":["Department of Neurology, Saitama Medical Center, Saitama Medical University, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Saitama Medical Center, Saitama Medical University, Japan","institution_ids":["https://openalex.org/I4405282892","https://openalex.org/I8588240"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011116826","display_name":"Keisuke Sawada","orcid":"https://orcid.org/0000-0002-6357-9473","observed_orcids":["https://orcid.org/0000-0002-6357-9473"]},"institutions":[{"id":"https://openalex.org/I4405282892","display_name":"Saitama Medical Center, Saitama Medical University","ror":"https://ror.org/00ma6wk53","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405282892"]},{"id":"https://openalex.org/I8588240","display_name":"Saitama Medical University","ror":"https://ror.org/04zb31v77","country_code":"JP","type":"education","lineage":["https://openalex.org/I8588240"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Keisuke Sawada","raw_affiliation_strings":["Department of Pathology, Saitama Medical Center, Saitama Medical University, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pathology, Saitama Medical Center, Saitama Medical University, Japan","institution_ids":["https://openalex.org/I4405282892","https://openalex.org/I8588240"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024410377","display_name":"Yuichi Yoshida","orcid":"https://orcid.org/0000-0001-8855-4099","observed_orcids":["https://orcid.org/0000-0001-8855-4099"]},"institutions":[{"id":"https://openalex.org/I4405282892","display_name":"Saitama Medical Center, Saitama Medical University","ror":"https://ror.org/00ma6wk53","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405282892"]},{"id":"https://openalex.org/I8588240","display_name":"Saitama Medical University","ror":"https://ror.org/04zb31v77","country_code":"JP","type":"education","lineage":["https://openalex.org/I8588240"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yuichi Yoshida","raw_affiliation_strings":["Department of Neurology, Saitama Medical Center, Saitama Medical University, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Saitama Medical Center, Saitama Medical University, Japan","institution_ids":["https://openalex.org/I4405282892","https://openalex.org/I8588240"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5150694972","display_name":"Shunsuke Tsutsumi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405282892","display_name":"Saitama Medical Center, Saitama Medical University","ror":"https://ror.org/00ma6wk53","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405282892"]},{"id":"https://openalex.org/I8588240","display_name":"Saitama Medical University","ror":"https://ror.org/04zb31v77","country_code":"JP","type":"education","lineage":["https://openalex.org/I8588240"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shunsuke Tsutsumi","raw_affiliation_strings":["Department of Neurology, Saitama Medical Center, Saitama Medical University, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Saitama Medical Center, Saitama Medical University, Japan","institution_ids":["https://openalex.org/I4405282892","https://openalex.org/I8588240"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5150597582","display_name":"Yoshihiro Furukawa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405282892","display_name":"Saitama Medical Center, Saitama Medical University","ror":"https://ror.org/00ma6wk53","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405282892"]},{"id":"https://openalex.org/I8588240","display_name":"Saitama Medical University","ror":"https://ror.org/04zb31v77","country_code":"JP","type":"education","lineage":["https://openalex.org/I8588240"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yoshihiro Furukawa","raw_affiliation_strings":["Department of Neurology, Saitama Medical Center, Saitama Medical University, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Saitama Medical Center, Saitama Medical University, Japan","institution_ids":["https://openalex.org/I4405282892","https://openalex.org/I8588240"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058710518","display_name":"Satoru Oji","orcid":"https://orcid.org/0000-0003-1231-1933","observed_orcids":["https://orcid.org/0000-0003-1231-1933"]},"institutions":[{"id":"https://openalex.org/I4405282892","display_name":"Saitama Medical Center, Saitama Medical University","ror":"https://ror.org/00ma6wk53","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405282892"]},{"id":"https://openalex.org/I8588240","display_name":"Saitama Medical University","ror":"https://ror.org/04zb31v77","country_code":"JP","type":"education","lineage":["https://openalex.org/I8588240"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Satoru Oji","raw_affiliation_strings":["Department of Neurology, Saitama Medical Center, Saitama Medical University, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Saitama Medical Center, Saitama Medical University, Japan","institution_ids":["https://openalex.org/I4405282892","https://openalex.org/I8588240"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5121195551","display_name":"Kenichi Kaida","orcid":"https://orcid.org/0000-0002-8039-7233","observed_orcids":["https://orcid.org/0000-0002-8039-7233","https://orcid.org/0000-0002-0602-4826"]},"institutions":[{"id":"https://openalex.org/I4405282892","display_name":"Saitama Medical Center, Saitama Medical University","ror":"https://ror.org/00ma6wk53","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405282892"]},{"id":"https://openalex.org/I8588240","display_name":"Saitama Medical University","ror":"https://ror.org/04zb31v77","country_code":"JP","type":"education","lineage":["https://openalex.org/I8588240"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kenichi Kaida","raw_affiliation_strings":["Department of Neurology, Saitama Medical Center, Saitama Medical University, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Saitama Medical Center, Saitama Medical University, Japan","institution_ids":["https://openalex.org/I4405282892","https://openalex.org/I8588240"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.65180308,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10697","display_name":"Vasculitis and related conditions","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10697","display_name":"Vasculitis and related conditions","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10816","display_name":"Cerebrovascular and Carotid Artery Diseases","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12453","display_name":"Infectious Aortic and Vascular Conditions","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/giant-cell-arteritis","display_name":"giant cell arteritis","score":1.0},{"id":"https://openalex.org/keywords/posterior-circulation-infarction","display_name":"posterior circulation infarction","score":0.7020000219345093},{"id":"https://openalex.org/keywords/homonymous-hemianopia","display_name":"homonymous hemianopia","score":0.8389999866485596},{"id":"https://openalex.org/keywords/vertebral-artery-occlusion","display_name":"vertebral artery occlusion","score":0.859000027179718},{"id":"https://openalex.org/keywords/vertebral-artery-stenosis","display_name":"vertebral artery stenosis","score":0.9789999723434448},{"id":"https://openalex.org/keywords/temporal-artery-biopsy","display_name":"temporal artery biopsy","score":0.9750000238418579},{"id":"https://openalex.org/keywords/vasculitis","display_name":"vasculitis","score":0.6800000071525574},{"id":"https://openalex.org/keywords/18f-fdg-pet-ct","display_name":"18F-FDG PET/CT","score":0.8389999866485596},{"id":"https://openalex.org/keywords/tocilizumab","display_name":"tocilizumab","score":0.878000020980835},{"id":"https://openalex.org/keywords/prednisolone","display_name":"prednisolone","score":0.8519999980926514}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.967199981212616},{"id":"https://openalex.org/C2776712624","wikidata":"https://www.wikidata.org/wiki/Q707816","display_name":"Giant cell arteritis","level":4,"score":0.8895000219345093},{"id":"https://openalex.org/C2909425871","wikidata":"https://www.wikidata.org/wiki/Q19929566","display_name":"Temporal artery","level":5,"score":0.7202000021934509},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.6421999931335449},{"id":"https://openalex.org/C2777798775","wikidata":"https://www.wikidata.org/wiki/Q207550","display_name":"Infarction","level":3,"score":0.6412000060081482},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.5745000243186951},{"id":"https://openalex.org/C2781343717","wikidata":"https://www.wikidata.org/wiki/Q1751810","display_name":"Arteritis","level":2,"score":0.5148000121116638},{"id":"https://openalex.org/C2778040396","wikidata":"https://www.wikidata.org/wiki/Q494694","display_name":"Superficial temporal artery","level":4,"score":0.5067999958992004},{"id":"https://openalex.org/C2778212899","wikidata":"https://www.wikidata.org/wiki/Q907325","display_name":"Magnetic resonance angiography","level":3,"score":0.3359000086784363},{"id":"https://openalex.org/C2994556229","wikidata":"https://www.wikidata.org/wiki/Q1209150","display_name":"Brain infarction","level":3,"score":0.33059999346733093},{"id":"https://openalex.org/C541997718","wikidata":"https://www.wikidata.org/wiki/Q188151","display_name":"Ischemia","level":2,"score":0.3199000060558319},{"id":"https://openalex.org/C2777466421","wikidata":"https://www.wikidata.org/wiki/Q1266890","display_name":"Vascular disease","level":2,"score":0.3156000077724457},{"id":"https://openalex.org/C2776098176","wikidata":"https://www.wikidata.org/wiki/Q189389","display_name":"Aneurysm","level":2,"score":0.31150001287460327},{"id":"https://openalex.org/C2779450755","wikidata":"https://www.wikidata.org/wiki/Q1209150","display_name":"Cerebral infarction","level":3,"score":0.3041999936103821},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.295199990272522},{"id":"https://openalex.org/C2776015282","wikidata":"https://www.wikidata.org/wiki/Q644318","display_name":"Vasculitis","level":3,"score":0.2892000079154968},{"id":"https://openalex.org/C31601959","wikidata":"https://www.wikidata.org/wiki/Q931309","display_name":"Medical imaging","level":2,"score":0.2770000100135803},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.2754000127315521},{"id":"https://openalex.org/C2779281540","wikidata":"https://www.wikidata.org/wiki/Q5062122","display_name":"Central nervous system disease","level":2,"score":0.25920000672340393}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.2169/internalmedicine.7447-26","doi":"https://doi.org/10.2169/internalmedicine.7447-26","is_oa":true,"landing_page_url":"https://doi.org/10.2169/internalmedicine.7447-26","pdf_url":"https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7447-26/_pdf","source":{"id":"https://openalex.org/S154471048","display_name":"Internal Medicine","issn_l":"0918-2918","issn":["0918-2918","1349-7235"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310313351","host_organization_name":"The Japanese Society of Internal Medicine","host_organization_lineage":["https://openalex.org/P4310313351"],"host_organization_lineage_names":["The Japanese Society of Internal Medicine"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Internal Medicine","raw_type":"journal-article"},{"id":"pmid:42716740","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42716740","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Internal medicine (Tokyo, Japan)","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.2169/internalmedicine.7447-26","doi":"https://doi.org/10.2169/internalmedicine.7447-26","is_oa":true,"landing_page_url":"https://doi.org/10.2169/internalmedicine.7447-26","pdf_url":"https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7447-26/_pdf","source":{"id":"https://openalex.org/S154471048","display_name":"Internal Medicine","issn_l":"0918-2918","issn":["0918-2918","1349-7235"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310313351","host_organization_name":"The Japanese Society of Internal Medicine","host_organization_lineage":["https://openalex.org/P4310313351"],"host_organization_lineage_names":["The Japanese Society of Internal Medicine"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Internal Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7211889343.pdf","grobid_xml":"https://content.openalex.org/works/W7211889343.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4417209170","https://openalex.org/W4409899031","https://openalex.org/W3108797808","https://openalex.org/W2099095498","https://openalex.org/W2461446933","https://openalex.org/W2799375250","https://openalex.org/W3205277917","https://openalex.org/W4281742504","https://openalex.org/W2461800395","https://openalex.org/W4413795098"],"abstract_inverted_index":{"A":[0,69],"75-year-old":[1],"woman":[2],"presented":[3],"with":[4,46],"a":[5],"sudden":[6],"onset":[7],"of":[8],"left":[9,34],"homonymous":[10],"hemianopia":[11],"and":[12,24,33,60,77,93],"dizziness":[13],"without":[14,90,101],"headache.":[15],"Magnetic":[16],"resonance":[17,26],"imaging":[18,40],"revealed":[19,28,42,52],"multiple":[20],"posterior":[21],"circulation":[22],"infarctions,":[23],"magnetic":[25],"angiography":[27],"right":[29],"vertebral":[30,35],"artery":[31,36,65],"occlusion":[32],"stenosis.":[37],"Vessel":[38],"wall":[39,44],"(VWI)":[41],"concentric":[43],"thickening":[45],"enhancement,":[47],"suggesting":[48],"vasculitis.":[49],"18F-FDG":[50],"PET/CT":[51],"an":[53],"increased":[54],"aortic":[55],"uptake.":[56],"Despite":[57],"elevated":[58],"CRP":[59],"ESR":[61],"levels,":[62],"the":[63,80],"temporal":[64],"ultrasound":[66],"was":[67],"normal.":[68],"biopsy":[70],"confirmed":[71],"giant":[72],"cell":[73],"arteritis":[74],"(GCA).":[75],"Prednisolone":[76],"tocilizumab":[78],"normalized":[79],"inflammatory":[81],"markers.":[82],"This":[83],"case":[84],"shows":[85],"that":[86],"GCA":[87],"can":[88],"present":[89],"classic":[91],"symptoms,":[92],"VWI":[94],"may":[95],"help":[96],"evaluate":[97],"unexplained":[98],"vascular":[99],"lesions":[100],"conventional":[102],"risk":[103],"factors.":[104]},"counts_by_year":[],"updated_date":"2026-10-09T09:14:12.587421","created_date":"2026-09-08T00:00:00"}
