Tempo(ral) was the heart of the matter.

Aged Fatal Outcome Female Giant Cell Arteritis / complications Humans Ophthalmoplegia / etiology Optic Neuropathy, Ischemic / etiology Temporal Arteries / pathology
diplopia giant cell arteritis ophthalmoplegia temporal artery biopsy

Journal

Survey of ophthalmology
ISSN: 1879-3304
Titre abrégé: Surv Ophthalmol
Pays: United States
ID NLM: 0404551

Informations de publication

Date de publication:
Historique:
received: 21 09 2017
accepted: 02 10 2017
pubmed: 13 10 2017
medline: 28 12 2019
entrez: 13 10 2017
Statut: ppublish

Résumé

A 71-year-old woman was admitted with fever, headache, and weight loss associated with elevated inflammatory markers. She developed acute bilateral ophthalmoplegia and asymmetrical ptosis, rapidly followed by anterior ischemic optic neuropathy. Although the first temporal artery biopsy was negative, contralateral temporal artery biopsy revealed features consistent with giant cell arteritis. Even while under steroid therapy, she died a few days later from myocardial infarction. Acute bilateral complete ophthalmoplegia is a rare presentation of a limited number of possible diseases. Among these, giant cell arteritis should be suspected in the appropriate clinical scenario.

Identifiants

DOI: 10.1016/j.survophthal.2017.10.002 PMID: 29024675
pubmed: 29024675
pii: S0039-6257(17)30240-0
doi: 10.1016/j.survophthal.2017.10.002
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

433-438

Informations de copyright

Copyright © 2017 Elsevier Inc. All rights reserved.

Auteurs

Francesco Pellegrini (F)

Department of Ophthalmology, Neuro-Ophthalmology Service, "De Gironcoli" Hospital, Conegliano, Italy. Electronic address: francepellegrini@virgilio.it.

Daniele Cirone (D)

Department of Ophthalmology, "Murri" Hospital, Fermo, Italy.

Piernicola Machin (P)

Pathology Unit, Conegliano Hospital, Treviso, Italy.

Rod Foroozan (R)

Baylor College of Medicine, Houston, Texas, USA.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Tempo(ral) was the heart of the matter.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Registre civil › Mortalité › Issue fatale › Tempo(ral) was the heart of the matter.
questionsmedicales.fr › Maladies du système immunitaire › Maladies auto-immunes › Maladies auto-immunes du système nerveux › Vascularite du système nerveux central › Artérite à cellules géantes › Tempo(ral) was the heart of the matter.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Tempo(ral) was the heart of the matter.
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Paralysie › Ophtalmoplégie › Tempo(ral) was the heart of the matter.
questionsmedicales.fr › Maladies cardiovasculaires › Maladies vasculaires › Neuropathie optique ischémique › Tempo(ral) was the heart of the matter.
questionsmedicales.fr › Système cardiovasculaire › Vaisseaux sanguins › Artères › Artères cérébrales › Artères temporales › Tempo(ral) was the heart of the matter.