Abstract

ASENSIO-SANCHEZ, V.M.; MORALES-GOMEZ, I.  and  RODRIGUEZ-VACA, I.. Third nerve palsy as the only manifestation of occult temporal arteritis. Arch Soc Esp Oftalmol [online]. 2009, vol.84, n.8, pp.395-398. ISSN 0365-6691.

Case report: Two patients (80 and 67 year-old) presented with diplopia for a sudden right 3rd cranial nerve palsy without other ocular or systemic symptoms related to temporal arteritis. Erythrocyte sedimentation rate and C-reactive protein levels were normal. Subsequent biopsy of the superficial temporal artery confirmed the diagnosis of temporal arteritis. Discussion: Patients with ocular nerve palsy could have occult temporal arteritis. Aged patients with an acute ocular ischemic lesion, without elevated erythrocyte sedimentation rate, C-reactive protein levels and systemic symptoms, should raise a high index of suspicion for temporal arteritis.

Keywords : Third cranial nerve palsy; occult temporal arteritis; temporal biopsy; diplopia; sedimentation rate.

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