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A stroke of bad luck

Subramaniam Nagasayi1, Susan White2, Yogesh Joshi3

  • 1University Hospital Llandough, Cardiff, UK drkamalsuja@doctors.net.uk.

Clinical Medicine (London, England)
|December 4, 2014
PubMed

Giant cell arteritis is a common cause of headache in patients aged more than 50 years. It is an easy diagnosis to make if classical features, ie temporal headache, jaw claudication, visual symptoms, systemic symptoms of fever or weight loss with high erythrocyte sedimentation rate and anemia, are present. However, it may present atypically and stroke can be the presenting feature. A high index of suspicion is needed in atypical presentations such as stroke. Once a diagnosis is suspected it is imperative to start high dose steroids to prevent visual and neurological complications.

Keywords:
Giant cell arteritisaspirinsteroidsstrokevasculitis

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