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Revue du rhumatisme
Volume 69, n° 5
pages 545-547 (mai 2002)
Received : 16 Mars 2001 ;  accepted : 16 July 2001
Radiculite cervicale révélatrice d'une maladie de Horton
Cervical radiculopathy as a manifestation of giant cell arteritis.

Martin  Soubrier 1 * ,  Jean-Jacques  Dubost 1 ,  Anne  Tournadre 1 ,  Didier  Deffond 2 ,  Pierre  Clavelou 2 ,  Jean-Michel  Ristori 1
1Service de rhumatologie, hôpital G. Montpied, place Henri-Dunant, 63003 Clermont-Ferrand, France 
2service de neurologie, hôpital G. Montpied, place Henri-Dunant, 63003 Clermont-Ferrand, France 

*Correspondance et tirés à part
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Les atteintes radiculaires sont rares dans la maladie de Horton. Dans tous les cas rapportés précédemment, sauf un, il s'agissait d'une atteinte des racines C5. Nous rapportons ici un nouveau cas d'atteinte C5 secondaire à une maladie de Horton. Cette atteinte radiculaire pourrait être la conséquence d'une vascularite des artères radiculaires. L'atteinte préférentielle des racines C5 pourrait être due à la distribution de la vascularisation des racines cervicales mais pourrait aussi être liée à la méconnaissance d'une atteinte des racines cervicales hautes (C1-C3). Dans tous les cas, l'évolution est favorable sous corticothérapie.

Mots clés  : artérite temporale ; maladie de Horton ; neuropathie périphérique ; radiculite.

Abstract

Radicular involvement in Horton's disease is rare. In all but one of the eight documented cases, C5 nerve roots were affected. We report a new case with C5 involvement. Cervical radiculopathy could be due to arteritis of radicular vessels. Preferential involvement of C5 nerve roots may depend on the vascularization of cervical roots but could be due to the inability to diagnose upper cervical involvement (C1-C3). Outcome is favourable in all cases with corticosteroids.

Mots clés  : neuropathy ; temporal arteritis.




© 2002  Éditions scientifiques et médicales Elsevier SAS. All Rights Reserved.

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