We read with interest the case reported by Dr. Paquale Finelli
1
which highlighted the importance of evaluating patients with non-invasive arterial
imaging to identify radiographic features of large-vessel vasculitis (LVV). We agree
with the author that evaluating for extracranial LVV is advised among patients presenting
with stroke, elevated inflammatory markers, systemic inflammatory symptoms, and absence
of traditional vascular risk factors; particularly if a thromboembolic source is not
identified. Indeed, the increased utilization of non-invasive large vessel imaging
has greatly expanded the understanding of the clinical landscape and spectrum of LVV.Keywords
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Article info
Publication history
Published online: September 29, 2022
Accepted:
September 22,
2022
Received:
September 14,
2022
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2022.106809
Copyright
© 2022 Elsevier Inc. All rights reserved.
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- Reply to Koster et al. letter to editorJournal of Stroke and Cerebrovascular DiseasesVol. 31Issue 12
- PreviewDr. Koster et al, aptly call attention to the distinction in diagnostic and classification criteria and comment criteria proposed by Dejaco and colleagues1 were to advise updates for criteria for classification not diagnosis. While true, Dejaco et al.2 state “The objective of this project was to provide user-friendly, evidence-based recommendations for the use of imaging modalities for diagnosis, monitoring and outcome of primary LVV”. In their discussion they note, “In summary, we developed 12 recommendations on the use of imaging for the diagnosis and monitoring of LVV”.
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