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PubMed · 16286553

Bilateral third nerve palsy and temporal arteritis.

Christos Lazaridis·Amir Torabi·Stephen Cannon
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Abstract

BACKGROUND: Bilateral oculomotor palsy is a rare manifestation of temporal arteritis, and to our knowledge only 1 case has been described in the literature. OBJECTIVE: To investigate a possible case of temporal arteritis in a patient with bilateral third nerve palsy. DESIGN: Case report and review. SETTING: University hospital. PATIENT: A 65-year-old man had subacute pupil-sparing bilateral third nerve palsy. RESULTS: Temporal artery biopsy findings and response to corticosteroids are consistent with temporal arteritis. CONCLUSION: Temporal arteritis is a rare cause of ophthalmoplegia in elderly persons and may be unrecognized.

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Giant Cell ArteritisHumansMaleMiddle AgedOculomotor Nerve DiseasesCase ReportsJournal ArticleReview

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BibTeXRIS

Christos Lazaridis, Amir Torabi, Stephen Cannon. 2005. Bilateral third nerve palsy and temporal arteritis.. https://doi.org/10.1001/archneur.62.11.1766

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Bayard Horton's clinicopathological description of giant cell (temporal) arteritis.

The author set out to review the thought processes of Bayard Horton as he was clinicopathologically describing the first cases of temporal arteritis. The Mayo Clinic records of the original temporal arteritis patients were examined. Horton obtained the first biopsies of the temporal arteries in temporal arteritis and was the first to describe the histopathology. Horton initially thought his first two patients had actinomycosis of the temporal arteries, but later abandoned this diagnosis. He reported these two patients in 1932 as 'an undescribed form of arteritis of the temporal vessels'. He was the first to describe jaw claudication. He saw a patient with blindness and symptoms suggestive of temporal arteritis before this complication was described in the literature, but initially felt the patient had some other disease. The sedimentation rate was elevated in his first patient. He cared for the first temporal arteritis patient ever treated with cortisone.

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