Giant cell arteritis presenting as oculomotor nerve palsy with pupillary dilatation.

Davies, G E; Shakir, R A · Postgrad Med J · 1994

case_report · Level V

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Abstract

Acute complete oculomotor palsy with headache is a classical presentation of an extrinsic compression most commonly due to a posterior communicating artery aneurysm. We present a patient with such a presentation but with histologically proven giant cell arteritis. This possibility should be considered especially in the elderly to avoid complications and the need for angiography.

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