Giant cell arteritis with unusual flow-related neuro-ophthalmologic manifestations.
We report two patients with giant cell arteritis and unusual neuro-ophthalmic findings. One patient developed a horizontal one and a half syndrome associated with upright posture. The responsible lesion was dorsal pontine infarction. The other patient had bright light-induced amaurosis fugax in the absence of extracranial carotid occlusive disease. Both patients continued to have symptoms despite the use of high-dose intravenous corticosteroids. The manifestations of both patients occurred early in the course of giant cell arteritis and were flow related.
Galetta
S L
SL
Department of Neurology and Ophthalmology, University of Pennsylvania Medical Center, Philadelphia 19104, USA.
Balcer
L J
LJ
Liu
G T
GT
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography; D001766:Blindness / Q000175:diagnosis / Q000209:etiology*; D002560:Cerebrovascular Circulation; D002561:Cerebrovascular Disorders / Q000209:etiology; D005123:Eye / Q000098:blood supply; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D007275:Injections, Intravenous; D008279:Magnetic Resonance Imaging; D009460:Neurologic Examination; D009887:Ophthalmoscopy; D011149:Pons / Q000098:blood supply / Q000473:pathology
D000305:Adrenal Cortex Hormones