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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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An Immunohistopathologic Study to Profile the Folate Receptor Beta Macrophage and Vascular Immune Microenvironment in Giant Cell Arteritis
06:35

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Published on: February 8, 2019

Cluster headache or giant cell arteritis?

Sangeetha Baskar1, Rolland Etti, George Kitas

  • 1Dudley Group of Hospitals, Rheumatology, Russel's Hall Hospital, Dudley, DY1 2HQ, UK. baskar@doctors.org.uk

BMJ Case Reports
|July 1, 2011
PubMed
Summary
This summary is machine-generated.

This case highlights diagnostic confusion between giant cell arteritis and cluster headache in an elderly female. It emphasizes considering cluster headache in new or relapsing headaches, even in older women.

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Area of Science:

  • Neurology
  • Vascular Neurology
  • Headache Medicine

Background:

  • Giant cell arteritis (GCA) and cluster headache (CH) are distinct neurological conditions presenting with head pain.
  • Elderly patients, particularly women, are often underdiagnosed for certain headache disorders.

Observation:

  • An elderly female with polymyositis presented with new-onset temporal headache initially diagnosed as GCA.
  • The patient's subsequent clinical course was typical of cluster headache.

Findings:

  • This case demonstrates significant diagnostic overlap and potential confusion between GCA and CH.
  • Clinical presentation can be misleading, necessitating a broad differential diagnosis.

Implications:

  • Cluster headache should be considered in the differential diagnosis of new-onset or relapsing headaches in the elderly, including women.
  • Awareness of CH in elderly females is crucial, challenging historical perceptions of its lower prevalence in this demographic.
  • Accurate diagnosis is essential to guide appropriate management and prevent complications associated with misdiagnosis.