[Apical orbital inflammation in giant cell arteritis].
METHODS
Our purpose is to describe a case of an acute optic neuropathy with apical muscle thickening in a patient already diagnosed with giant cell arteritis. Loss of visual acuity and perimetric concentric constriction responded rapidly to intravenous glucocorticoid therapy. There has been no relapse during continued long-term therapy with cyclophosphamide.


CONCLUSIONS
Giant cell arteritis is a systemic, idiopathic vasculitis; among its less frequent complications is orbital pseudotumor. Our patient required urgent treatment to avoid visual acuity loss due to compressive neuropathy and perineuritis.
Puerto
B
B
Hospital Universitario Ramón y Cajal, Servicio de Oftalmología, Madrid, España. beapuertoh@hotmail.com
Noval
S
S
Veiga
C
C
Contreras
I
I
Mateos
E
E
D000368:Aged; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications*; D006801:Humans; D007249:Inflammation / Q000209:etiology; D009916:Orbital Diseases / Q000209:etiology*