Giant Cell Arteritis With Multiple Cranial Nerve Palsy and Reversible Proptosis: A Case Report

Authors

  • Li-Min Liou MD,

    1. From the Department of Neurology, Kaohsiung Municipal Hsiaokang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan (Drs. Liou and Lan); Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan (Dr. Khor); Department of Neurology and Graduate Institute of Behavioral Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan (Dr. Lai).
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  • Gim-Thean Khor MD,

    1. From the Department of Neurology, Kaohsiung Municipal Hsiaokang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan (Drs. Liou and Lan); Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan (Dr. Khor); Department of Neurology and Graduate Institute of Behavioral Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan (Dr. Lai).
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  • Sheng-Hsing Lan MD,

    1. From the Department of Neurology, Kaohsiung Municipal Hsiaokang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan (Drs. Liou and Lan); Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan (Dr. Khor); Department of Neurology and Graduate Institute of Behavioral Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan (Dr. Lai).
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  • Chiou-Lian Lai MD

    1. From the Department of Neurology, Kaohsiung Municipal Hsiaokang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan (Drs. Liou and Lan); Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan (Dr. Khor); Department of Neurology and Graduate Institute of Behavioral Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan (Dr. Lai).
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  • Conflict of Interest: None

Dr. Chiou-Lian Lai, Department of Neurology, Kaohsiung Medical University Hospital, No. 482, Shanming Road, Siaogang District, Kaohsiung City 812, Taiwan.

Abstract

Giant cell arteritis (GCA) often presents with symptoms of headache, jaw claudication, polymyalgia rheumatica, and blurred vision. GCA is relatively rare and may have atypical manifestations in Asians, including multiple cranial nerve palsy and reversible proptosis. A high suspicion of GCA is suggested when any older Asian suffers from headache that is new-onset or different from the previous pattern, even without other typical manifestations of GCA.

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