Multiple Cranial Nerve Palsies in Giant Cell Arteritis

J Neuroophthalmol. 2017 Dec;37(4):398-400. doi: 10.1097/WNO.0000000000000529.

Abstract

Giant cell arteritis (GCA) is a systemic vasculitis of medium and large arteries often with ophthalmic involvement, including ischemic optic neuropathy, retinal artery occlusion, and ocular motor cranial nerve palsies. This last complication occurs in 2%-15% of patients, but typically involves only 1 cranial nerve. We present 2 patients with biopsy-proven GCA associated with multiple cranial nerve palsies.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Biopsy
  • Cranial Nerve Diseases / complications*
  • Cranial Nerve Diseases / diagnosis
  • Cranial Nerve Diseases / physiopathology
  • Eye Movements / physiology
  • Giant Cell Arteritis / complications*
  • Giant Cell Arteritis / diagnosis
  • Humans
  • Male
  • Ocular Motility Disorders / diagnosis
  • Ocular Motility Disorders / etiology*
  • Ocular Motility Disorders / physiopathology
  • Oculomotor Muscles / innervation
  • Oculomotor Muscles / physiopathology
  • Temporal Arteries / pathology