From the Department of Neurology, The North Middlesex University Hospital, London, UK.
The Numb Chin Syndrome as an Early Manifestation of Giant-Cell (Temporal) Arteritis: A Case Report
Version of Record online: 1 NOV 2005
Headache: The Journal of Head and Face Pain
Volume 45, Issue 10, pages 1411–1413, November 2005
How to Cite
Abilleira, S. and Bowler, J. V. (2005), The Numb Chin Syndrome as an Early Manifestation of Giant-Cell (Temporal) Arteritis: A Case Report. Headache: The Journal of Head and Face Pain, 45: 1411–1413. doi: 10.1111/j.1526-4610.2005.00276_1.x
- Issue online: 1 NOV 2005
- Version of Record online: 1 NOV 2005
- Accepted for publication June 21, 2005.
- numb chin syndrome;
- giant-cell (temporal) arteritis
We describe a 70-year-old woman with a 2-month history of a numb chin and gradually increasing bilateral headache and malaise. Neurological examination disclosed chin hypoesthesia while investigations showed a normocytic anemia, ESR of 100, and CRP of 72. A CT brain scan, chest X-ray, and bone scan showed no evidence of malignancy. Temporal arteritis was suspected and prednisolone started with prompt resolution of the headache, chin hypoesthesia, ESR, and CRP. This case illustrates an unusual etiology of the numb chin syndrome, which in most occasions is associated with malignancy. Temporal arteritis should be borne in mind as a possible explanation for this as it is a treatable condition with potentially serious, life-threatening complications.