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Fourth Nerve Palsy as the Presenting Manifestation of Giant Cell Arteritis

Published online by Cambridge University Press:  14 November 2024

Samira Jafari  and
Jonathan A. Micieli Open the ORCID record for Jonathan A. Micieli [Opens in a new window]
Samira Jafari
Affiliation:
Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada Kensington Vision and Research Centre, Toronto, ON, Canada
Jonathan A. Micieli*
Affiliation:
Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada Kensington Vision and Research Centre, Toronto, ON, Canada Department of Ophthalmology, St. Michael’s Hospital, Unity Health, Toronto, ON, Canada
*
Corresponding author: Jonathan A. Micieli; Email: jmicieli@kensingtonhealth.org
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Abstract

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Keywords

Giant cell arteritisFourth nerve palsyCranial vasculitisTemporal artery biopsyCorticosteroid therapy

Information

Type
Letter to the Editor: New Observation
Information
Canadian Journal of Neurological Sciences , Volume 52 , Issue 5 , September 2025 , pp. 862 - 863
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of Canadian Neurological Sciences Federation

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References

Ross, M, Bursztyn, L, Superstein, R, Gans, M. Multiple cranial nerve palsies in giant cell arteritis. J Neuro-ophthalmol. 2017;37:398–400.CrossRefGoogle ScholarPubMed
Thurtell, MJ, Longmuir, RA. Third nerve palsy as the initial manifestation of giant cell arteritis. J Neuro-ophthalmol. 2014;34:243–5.CrossRefGoogle Scholar
Wan, K. Case report: giant cell arteritis presenting with 6th nerve palsy without ischemic optic neuropathy. CRO. 2022;33. https://www.crojournal.com/case-report-giant-cell-arteritis-presenting-with-6th-nerve-palsy-without-ischemic-optic-neuropathy CrossRefGoogle Scholar
Oh, SY, Oh, SY. Clinical outcomes and aetiology of fourth cranial nerve palsy with acute vertical diplopia in adults. Eye (Basingstoke). 2020;34:1842–7.Google ScholarPubMed
Borruat, FX, Kawasaki, A, Titzé, P, Carota, A. Transient trochlear nerve palsy as the presenting neurological sign of panarteritis nodosa, Revue neurologique. vol. 161, Elsevier Masson SAS; 2005, pp. 567–70.Google Scholar