J Clin Neurol.  2018 Oct;14(4):577-579. 10.3988/jcn.2018.14.4.577.

Giant Cell Arteritis Associated Arteritic Anterior Ischemic Optic Neuropathy: Sudden Vision Loss on the Contralateral Side of Headache

• Lee EJ
• Woo KA
• Koo DL

• KMID: 2424189
• DOI: http://doi.org/10.3988/jcn.2018.14.4.577

Abstract

No abstract available.

MeSH Terms

Giant Cell Arteritis*
Giant Cells*
Headache*
Optic Neuropathy, Ischemic*

Figure

• 

  Fig. 1 Fundoscopic and histopathologic findings. Fundus photographs of the right and left eyes, showing that the optic disc was normal in the right eye (A) while chalky-white optic disc swelling was evident in the left eye (B). Intimal thickening and inflammatory infiltration were evident in the right superficial temporal artery (C and E; hematoxylin and eosin stain, ×100) but not the left superficial temporal artery (D and F; hematoxylin and eosin stain, ×100).

Reference

1. Chacko JG, Chacko JA, Salter MW. Review of giant cell arteritis. Saudi J Ophthalmol. 2015; 29:48–52.

2. Chen JJ, Leavitt JA, Fang C, Crowson CS, Matteson EL, Warrington KJ. Evaluating the incidence of arteritic ischemic optic neuropathy and other causes of vision loss from giant cell arteritis. Ophthalmology. 2016; 123:1999–2003.

3. Gonzalez-Gay MA, Barros S, Lopez-Diaz MJ, Garcia-Porrua C, Sanchez-Andrade A, Llorca J. Giant cell arteritis: disease patterns of clinical presentation in a series of 240 patients. Medicine (Baltimore). 2005; 84:269–276.

4. Hocevar A, Rotar Z, Jese R, Semrl SS, Pizem J, Hawlina M, et al. Do early diagnosis and glucocorticoid treatment decrease the risk of permanent visual loss and early relapses in giant cell arteritis: a prospective longitudinal study. Medicine (Baltimore). 2016; 95:e3210.

5. Danesh-Meyer HV, Savino PJ, Eagle RC Jr, Kubis KC, Sergott RC. Low diagnostic yield with second biopsies in suspected giant cell arteritis. J Neuroophthalmol. 2000; 20:213–215.

6. Breuer GS, Nesher G, Nesher R. Rate of discordant findings in bilateral temporal artery biopsy to diagnose giant cell arteritis. J Rheumatol. 2009; 36:794–796.

7. Jonasson F, Cullen JF, Elton RA. Temporal arteritis. A 14-year epidemiological, clinical and prognostic study. Scott Med J. 1979; 24:111–117.