Abstract

PUERTO, B. et al. Apical orbital inflammation in giant cell arteritis. Arch Soc Esp Oftalmol [online]. 2007, vol.82, n.1, pp.47-50. ISSN 0365-6691.

Case report: Our purpose is to describe a case of an acute optic neuropathy with apical muscle thickening in a patient already diagnosed with giant cell arteritis. Loss of visual acuity and perimetric concentric constriction responded rapidly to intravenous glucocorticoid therapy. There has been no relapse during continued long-term therapy with cyclophosphamide. Discussion: Giant cell arteritis is a systemic, idiopathic vasculitis; among its less frequent complications is orbital pseudotumor. Our patient required urgent treatment to avoid visual acuity loss due to compressive neuropathy and perineuritis.

Keywords : Orbital pseudotumor; apical orbital inflammation; temporal arteritis; compressive optic neuropathy.

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