[Ocular motility disorder as a primary symptom of temporal arteritis].
HISTORY AND METHODS: Six weeks after onset of a monocular elevation paresis of the left eye a 78-year-old man presented with an anterior ischemic optic neuropathy of the right eye. This time a monocular elevation paresis was observed in the right eye. The diagnosis of arteritis temporalis was confirmed histologically.


METHODS
Systemic steroid therapy was administered. Five days later the patient developed signs of an acute vertebrobasilar insufficiency. After further steroid therapy the neurologic signs and the motility disorder resolved. The visual acuity of the right eye improved from 1/20 to 6/20, but the visual field remained poor.


CONCLUSIONS
In retrospect the monocular elevation paresis was the initial sign of the temporal arteritis. The combination of the affected muscles and the change of the affected eye were hints at a prenuclear origin of the paresis. General signs of an acute vertebrobasilar ischemia supported this supposed localisation.
Budde
W M
WM
Augenklinik mit Poliklinik, Friedrich-Alexander-Universität Erlangen-Nürnbeg.
Gusek
G C
GC
D000368:Aged; D001706:Biopsy; D004172:Diplopia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D013700:Giant Cell Arteritis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D009886:Ophthalmoplegia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D009900:Optic Nerve / Q000098:blood supply; D013699:Temporal Arteries / Q000473:pathology; D014715:Vertebrobasilar Insufficiency / Q000150:complications / Q000175:diagnosis; D014792:Visual Acuity / Q000187:drug effects / Q000502:physiology; D014794:Visual Fields / Q000187:drug effects / Q000502:physiology
Augenbewegungsstörung als Primärsymptom einer Arteriitis temporalis.