Abstract
A 78-year-old white woman noted progressively worsening headache, fluctuating decreased vision, dizziness, and binocular horizontal and vertical diplopia of two months duration. She had a 40 prism diopter exotropia and bilateral ophthalmoplegia. An initial temporal artery biopsy (TAB) was negative for findings of giant cell arteritis (GCA). Empiric prednisone was continued, and a second TAB was positive for GCA. In time there was complete resolution of the ophthalmoplegia.
Original language | English (US) |
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Pages (from-to) | 354-360 |
Number of pages | 7 |
Journal | Survey of Ophthalmology |
Volume | 59 |
Issue number | 3 |
DOIs | |
State | Published - Jan 1 2014 |
Keywords
- Diplopia
- Exotropia
- Fourth nerve palsy
- Giant cell arteritis
- Ophthalmoplegia
ASJC Scopus subject areas
- Ophthalmology