[Acute diplopia after the age of 50; always look for giant cell arteritis].
Although giant cell arteritis (GCA) is a rare cause of ophthalmoplegia, swift diagnosis and treatment are necessary to avoid other complications. We report here a case of GCA in a 59-year-old woman with a history of hypertension and thyroid lobectomy. Diagnosis resulted from binocular diplopia, although classical GCA symptoms had been present a few days before. Oral corticotherapy led to a rapid disappearance of headaches and normal ocular motility in 1 month. We discuss the ophthalmological signs of the disease and the place of temporal artery biopsy and treatment.
Daïen
V
V
Service d'ophtalmologie, CHU de Montpellier, 34295 Montpellier cedex 5. vdaien@hotmail.fr
Rivière
S
S
Konaté
A
A
Arnaud
D
D
Villain
M
M
Schneider
C
C
D004172:Diplopia / Q000209:etiology*; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008875:Middle Aged