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Anterior ischemic optic neuropathy following ocular muscle paresis in a case of temporal arteritis Hiroshi Ishikawa 1 , Mutsumi Yoshihara 1 , Hanako Matsunaga 1 , Noriaki Tsuji 1 , Miho Hoshi 1 , Youji Kashima 1 , Hiromi Ogiwara 2 1Dept of Ophthalmol, Nihon Univ Sch of Med 2Ogiwara Eye Clinic pp.291-294
Published Date 1999/3/15
DOI https://doi.org/10.11477/mf.1410906222
  • Abstract
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A 86-year-old male developed abducens paresis followed by high fever. Severe headache, jaw claudication and bilateral visual loss developed 3 weeks later. We diagnosed him as bilateral anterior ischemic optic neuropathy. He also showed swelling and tenderness of bilateral temporal arteries, elevated erythrocyte sedimentation rate (ESR) and increase in C- reactive protein (CRP). Biopsy of temporal artery showed histological features of giant cell arteritis. Systemic treatment with prednisolone at the daily dosis of 50 mg induced immediate cure of headache and gradual normaliza-tion of ESR and CRP values. The visual acuity showed slight improvements, from light perception to hand movement right and from 0.4 to 0.7 left. This case illustrates that temporal arteritis may be involved in patients with diplopia due to oculomotor paresis. Systemic corticosteroid may prevent further progression of optic nerve involvement.


Copyright © 1999, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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