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Temporal arteritis presenting as an extrapyramidal disorder.

L Santambrogio1, G Bellomo, M Mercuri

  • 1Second Department of Internal Medicine, University of Perugia Medical School, Italy.

Acta Neurologica Scandinavica
|April 1, 1990
PubMed
Summary
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Temporal arteritis can cause neurological symptoms like tremor and rigidity. Prompt diagnosis and corticosteroid treatment effectively resolved these unusual extrapyramidal signs.

Area of Science:

  • Neurology
  • Rheumatology
  • Internal Medicine

Background:

  • Temporal arteritis, a form of vasculitis, typically presents with headache and jaw claudication.
  • Extrapyramidal symptoms are uncommon manifestations of temporal arteritis.

Observation:

  • A patient presented with tremor, rigidity, and extrapyramidal hypertonus unresponsive to standard treatments.
  • Clinical suspicion for temporal arteritis arose due to headache and laboratory findings.

Findings:

  • Temporal artery biopsy confirmed the diagnosis of temporal arteritis.
  • Corticosteroid therapy resulted in the complete resolution of the patient's extrapyramidal symptoms.

Implications:

  • This case highlights the importance of considering temporal arteritis in patients with unexplained extrapyramidal signs.

Related Experiment Videos

  • Early diagnosis and appropriate corticosteroid treatment are crucial for managing neurological complications of temporal arteritis.