Related Experiment Video
Updated: Jun 20, 2026

Minimally Invasive Surgical Decompression of Occipital Nerves
Published on: September 13, 2024
[Third nerve palsy as the only manifestation of occult temporal arteritis]
V M Asensio-Sánchez1, I Morales-Gómez, I Rodríguez-Vaca
1Hospital General, Medina del Campo, Valladolid, España. victor_asensio@orangemail.es
Case Report:
Two patients (80 and 67 year-old) presented with diplopia for a sudden right 3rd cranial nerve palsy without other ocular or systemic symptoms related to temporal arteritis. Erythrocyte sedimentation rate and C-reactive protein levels were normal. Subsequent biopsy of the superficial temporal artery confirmed the diagnosis of temporal arteritis.
Discussion:
Patients with ocular nerve palsy could have occult temporal arteritis. Aged patients with an acute ocular ischemic lesion, without elevated erythrocyte sedimentation rate, C-reactive protein levels and systemic symptoms, should raise a high index of suspicion for temporal arteritis.
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