Vasculitis & polymyalgia rheumatica

Stroke characteristics in giant cell arteritis and Takayasu arteritis: A multicenter retrospective cohort study of 108 patients

Semin Arthritis RheumPublished Retrospective cohort study

Authors' conclusion

Stroke presentation differs between GCA and TAK, with predominant vertebrobasilar involvement in GCA. Carotid involvement is more frequent in TAK and often requires vascular procedures.

Study context

Population
Patients with giant cell arteritis (GCA) or TAK (ACR/EULAR 2022 criteria) and ≥1 imaging-confirmed stroke; excluded TIA, strokes after age fifty in TAK, or strokes secondary to AF108 analysed
Participants
108 patients
Exposure
GCA vs TAK
  • GCAn = 68
  • TAKn = 40reference
Outcome
Epidemiological, clinical and prognostic features of stroke
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Stroke territory

Vertebrobasilar territory

Carotid territory

  • GCA vs TAK: P < 0.001
  • GCA vs TAK: P < 0.001

Observational data: associations, not effects.

Further findings

Age at stroke

P < 0.001

Hypertension

P = 0.003

Dyslipidemia

P = 0.002

Cerebellar syndrome

P = 0.001

Cranial nerve involvement

P = 0.017

Sensory deficits

P < 0.001

Vascular intervention required

P < 0.001

OutcomeGCATAKP value
Female-to-male ratio0.785.2P < 0.001

Original publication

Stroke characteristics in giant cell arteritis and Takayasu arteritis: A multicenter retrospective cohort study of 108 patients. Semin Arthritis Rheum. Published 8 February 2026. doi:10.1016/j.semarthrit.2026.152943

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