Pitfall in neurology: giant cell arteritis mimicking ocular myasthenia gravis

Mantero, Vittorio; Rigamonti, Andrea; Bianchi, G.; Piamarta, Francesca; Rossi, Giorgio; Pozzetti, Ugo; Salmaggi, Andrea

doi:10.1007/s10072-015-2074-8

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…He was treated with 1 g intravenous methylprednisolone for 3 days followed by high‐dose prednisolone (1 mg/kg of weight) with improvement in ptosis and diplopia 3 weeks after the initiation of therapy. Mantero and colleagues also described a case of GCA in a 77‐year‐old man who presented with an isolated left third nerve palsy, fatigable ptosis, and fever 9 . This patient also received steroid therapy (50 mg daily for 1 month and subsequent slow taper) with complete resolution of his neurological symptoms 3 months later.…”

Section: Discussionmentioning

confidence: 95%

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An atypical presentation of giant cell arteritis: Fatigable signs to anterior ischemic optic neuropathy and choroidal infarction

Shinbashi,

Hakim,

Mechel

et al. 2023

Clinical Case Reports

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Key Clinical MessagePrompt diagnosis and treatment of GCA are crucial to preserve vision. Because of this, new‐onset ptosis or diplopia in elderly patients should warrant consideration of GCA, even in the absence of “classic” features, systemic symptoms or elevated inflammatory markers.AbstractGiant cell arteritis (GCA) is a vision‐threatening, ophthalmic emergency that classically presents with new‐onset headaches, scalp tenderness, systemic symptoms, visual disturbances, and elevated inflammatory markers. We describe an atypical presentation of GCA in an 87‐year‐old patient with fatigable ptosis and diplopia, with subsequent anterior ischemic optic neuropathy and choroidal infarction.

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Section: Discussionmentioning

confidence: 95%

“…Mantero and colleagues also described a case of GCA in a 77‐year‐old man who presented with an isolated left third nerve palsy, fatigable ptosis, and fever. 9 This patient also received steroid therapy (50 mg daily for 1 month and subsequent slow taper) with complete resolution of his neurological symptoms 3 months later.…”

Section: Discussionmentioning

confidence: 99%

An atypical presentation of giant cell arteritis: Fatigable signs to anterior ischemic optic neuropathy and choroidal infarction

Shinbashi,

Hakim,

Mechel

et al. 2023

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

“…In our review of the literature, a study demonstrated only 1 diagnosis of concomitant OMG among 250 cases of GCA (3), and another well-documented case of confirmed concurrent OMG, and GCA was found (1). It is also important to keep in mind that flexibility in adjusting the working diagnosis is crucial to avoid missing a condition that is mimicked by another, as exemplified in a case where a patient with GCA presented with symptoms similar to OMG (4).…”

mentioning

confidence: 99%