Giant cell arteritis presenting as oculomotor nerve palsy with pupillary dilatation.
Acute complete oculomotor palsy with headache is a classical presentation of an extrinsic compression most commonly due to a posterior communicating artery aneurysm. We present a patient with such a presentation but with histologically proven giant cell arteritis. This possibility should be considered especially in the elderly to avoid complications and the need for angiography.
Davies
G E
GE
Department of Neurology, Middlesbrough General Hospital, Cleveland, UK.
Shakir
R A
RA
D000368:Aged; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications* / Q000473:pathology; D006801:Humans; D015878:Mydriasis / Q000209:etiology*; D015840:Oculomotor Nerve Diseases / Q000209:etiology* / Q000473:pathology