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Cranial arteritis in otolaryngology

R A Sofferman

    The Annals of Otology, Rhinology, and Laryngology
    |May 1, 1980
    PubMed

    Insights

    Cranial arteritis, often affecting the elderly, can present with oral symptoms like jaw pain and tongue issues. Recognizing these signs is crucial for early diagnosis of this serious vascular condition.

    Area of Science:

    • Vascular Neurology
    • Rheumatology
    • Otolaryngology

    Background:

    • Cranial arteritis (CA) commonly presents with headache and visual loss, primarily in elderly individuals.
    • A significant association exists between CA and polymyalgia rheumatica (PMR), though the pathophysiology is not fully understood.
    • Otolaryngologic manifestations of CA are often considered infrequent in existing literature.

    Observation:

    • This report challenges the notion of infrequent otolaryngologic involvement in CA.
    • A notable percentage of patients with CA exhibit oral symptoms.
    • Observed oral manifestations include masticatory claudication, tongue pain, and lingual infarction.

    Findings:

    • Oral symptoms, such as jaw claudication and tongue pain, are more common in cranial arteritis than previously reported.
    • Approximately 25% of patients with CA experienced these oral manifestations.
    • Lingual infarction can be a presenting sign of cranial arteritis.

    Implications:

    • Oral manifestations should be considered important indicators of underlying cranial arteritis.
    • Early recognition of oral signs can lead to prompt diagnosis and treatment of CA.
    • This highlights the need to broaden the diagnostic criteria for CA to include otolaryngologic symptoms.

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