Temporal Artery Biopsy Roulette: Playing to Win
Journal Title: Journal of Ophthalmology and Advance Research - Year 2021, Vol 2, Issue 1
Abstract
Giant Cell Arteritis (GCA) is an auto inflammatory response often found in the superficial temporal artery. Patients may present with a localized headache overlying the temporal artery, as well as other symptoms such as weight loss, jaw claudication, shoulder stiffness and vision loss. Visual impairment from giant cell arteritis, associated with ischemic damage to the optic nerve or central retinal artery, may be irreversible. The diagnosis of giant cell arteritis may be confirmed by the presence of multinucleated giant cells in a temporal artery biopsy. We present two case reports of patients with suspected GCA where diagnosis and management were complicated by delayed/negative temporal biopsies. We suggest a practical algorithm for the management of patients with suspected GCA.
Authors and Affiliations
Kyle Swerhun, Thomas Cousineau, Sanjoy K Gupta
Keywords
Related Articles
- EP ID EP698927
- DOI http://dx.doi.org/10.46889/JOAR.2021.2104
- Views 91
- Downloads 0
Glaucoma Diagnosis Using Multivariate Analysis of Optical Coherence Tomography Angiography Compared to Clinical and Structural Retinal Data
Purpose: To characterize the ability of ImageJ-derived measurements of Optical Coherence Tomography Angiography (OCTA) to diagnose healthy vs Primary Open-Angle Glaucoma (POAG) Eyes. Methods: This retrospective study...
Ocular Causes of Headache in Patients Presenting To a Sub-Urban Eye Hospital
Background: Headache is one of the most frequent complaints for which the patients visit the medical practitioners. The current study was planned to determine the aetiology of headache in patients seen for an ocular ex...
Hybrid Ophthalmology Conferences: Paradigm Shift in 2022
Introduction: It has been almost a year since our journal talked about ophthalmology conferences under the COVID-19 era [1]. With the COVID-19 pandemic continuing throughout 2022, scholars and academics are finding their...
The Nasal Coastline of Traquair’s Island: The Influence of Gaze Direction on the Recorded Nasal Visual Field
Objective: In a pilot study to evaluate the importance of the nose for the definitive size and shape of the nasal visual field. Methods: Six eye-healthy individuals aged 12-59 years volunteered for regular bilateral a...
Non-traumatic Keratitis: Epidemio-Clinical, Etiological and Therapeutic Aspects at Bouake Hospital
Aim: To contribute to the knowledge and improvement of the management of non-traumatic keratitis. Materials and methods: Retrospective descriptive study based on the analysis of 105 patient records received at the oph...