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Elevated acute phase reactants (erythrocyte sedimentation rate and C-reactive protein) are present in &gt;90% of patients. Visual loss is a well-recognised complication, but approximately 2\u20134% of giant cell arteritis patients experience stroke, most frequently in the vertebrobasilar territory. We describe a 72-year-old male who developed bilateral vertebral artery occlusion and middle cerebellar peduncle infarction secondary to giant cell arteritis in spite of high-dose steroids.<\/jats:p>","DOI":"10.4997\/jrcpe.2019.206","type":"journal-article","created":{"date-parts":[[2019,6,12]],"date-time":"2019-06-12T10:51:09Z","timestamp":1560336669000},"page":"118-121","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Steroid Refractory Giant Cell Arteritis with Bilateral Vertebral Artery Occlusion and Middle Cerebellar Peduncle Infarction"],"prefix":"10.1177","volume":"49","author":[{"given":"Sarah","family":"Healy","sequence":"first","affiliation":[{"name":"Specialist Registrar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Simpson","sequence":"additional","affiliation":[{"name":"Consultant Radiologist"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William J","family":"Kitchen","sequence":"additional","affiliation":[{"name":"Neurosurgical Registrar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anu","family":"Jacob","sequence":"additional","affiliation":[{"name":"Consultant Neurologist"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Crooks","sequence":"additional","affiliation":[{"name":"Consultant Neuropathologist (retired)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nitika","family":"Rathi","sequence":"additional","affiliation":[{"name":"Consultant Neuropathologist"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shubhabrata","family":"Biswas","sequence":"additional","affiliation":[{"name":"Consultant Neuroradiologist, Department of Neurology, Walton Centre Foundation Trust, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Fletcher","sequence":"additional","affiliation":[{"name":"Consultant Neurologist"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saif","family":"Huda","sequence":"additional","affiliation":[{"name":"Consultant Neurologist"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alakendu","family":"Sekhar","sequence":"additional","affiliation":[{"name":"Consultant Neurologist"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,6,1]]},"reference":[{"key":"bibr1-jrcpe.2019.206","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2012.01.003"},{"key":"bibr2-jrcpe.2019.206","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.57.4.581"},{"key":"bibr3-jrcpe.2019.206","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-200301000-00001"},{"key":"bibr4-jrcpe.2019.206","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1972.00490170010003"},{"key":"bibr5-jrcpe.2019.206","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780330810"},{"key":"bibr6-jrcpe.2019.206","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-11-44"},{"key":"bibr7-jrcpe.2019.206","doi-asserted-by":"publisher","DOI":"10.1007\/s00259-011-1830-0"},{"key":"bibr8-jrcpe.2019.206","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-82-5-613"},{"key":"bibr9-jrcpe.2019.206","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2003.021592"},{"key":"bibr10-jrcpe.2019.206","volume":"30","author":"Loock J","year":"2012","journal-title":"Clin Exp Rheumatol"},{"key":"bibr11-jrcpe.2019.206","unstructured":"National Institute for Health and Care Excellence (2018). 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