Lessons of the month: Giant cell arteritis with Horner's syndrome and vertebral dissection.
Giant cell arteritis
Horner's syndrome
vertebral dissection
Journal
Clinical medicine (London, England)
ISSN: 1473-4893
Titre abrégé: Clin Med (Lond)
Pays: England
ID NLM: 101092853
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
medline:
1
1
2023
pubmed:
1
1
2023
entrez:
13
4
2024
Statut:
ppublish
Résumé
We present a case of an 82-year-old woman presenting with left-sided Horner's syndrome and stroke. She also had a 6-week history of intermittent dizziness, reduced appetite, lethargy, muscle stiffness and weight loss. Examination revealed left temporal artery and left posterior auricular artery tenderness. Her ESR showed 62 mm/hr and imaging showed left vertebral artery dissection. Temporal artery biopsy was positive. The case highlights a rare presentation of giant cell arteritis with Horner's syndrome and left vertebral artery dissection. High clinical suspicion is required to prevent delay in diagnosis and treatment.
Identifiants
pubmed: 38614507
pii: S1470-2118(24)04663-3
doi: 10.7861/clinmed.2022-0479
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
94-96Informations de copyright
Copyright © 2023 © 2023 THE AUTHORS. Published by Elsevier Limited on behalf of the Royal College of Physicians. Published by Elsevier Ltd.. All rights reserved.