An 83-year old male with a 2-year history of motor, left gaze palsy and cognitive slowing. Previous history significant for hypertension, hypercholesterolemia, Gilbert syndrome, and atrial fibrillation.
Pathology
Elevated ESR; Parkinsonian syndrome
Disease/Diagnosis
Giant cell arteritis
Clinical
VA: 20/50 OD, 20/60 OS; Color plates: 9/15 OU
Presenting Symptom
Subacute change in mental status; Akinetic-rigid parkinsonian features
Neuroimaging
CT; MRI
Treatment
IV anti-inflammatory agents; Corticosteroids
Date
2008-03
References
1. Caselli RJ. Giant cell (temporal) arteritis: A treatable cause of multi-infarct dementia. Neurology 1990; 40: 753. 2. Caselli RJ. Hunder GG. Neurologic complications of giant cell (temporal) arteritis. Semin Neurol 1994;14(4): 349-53. 3. Caselli RJ. Hunder GG. Whisnant JP. Neurologic disease in biopsy-proven giant cell (temporal) arteritis. Neurology 1988; 38(3): 352-9. 4. Fietta P, Manganelli P. Steroid-reversible parkinsonism as presentation of polymyalgia rheumatica. Clin Rheumatol 2006; 25: 564-565. 5. Monteiro MLR, Coppeto JR, Greco P. Giant cell arteritis of the posterior cerebral circulation presenting with ataxia and ophthalmoplegia. Arch Ophthalmol 1984; 102: 407.
Language
eng
Format
video/mp4
Type
Image/MovingImage
Source
40th Annual Frank Walsh Society Meeting
Relation is Part of
NANOS Annual Meeting Frank B. Walsh Sessions; 2008
