Lessons of the month: Giant cell arteritis with Horner's syndrome and vertebral dissection

We present a case of an 82-year-old woman presenting with left-sided Horner's syndrome and stroke. She also had a 6-week history of intermittent dizziness, reduced appetite, lethargy, muscle stiffness and weight loss. Examination revealed left temporal artery and left posterior auricular artery...

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Bibliographic Details
Published in:Clinical medicine (London, England) England), 2023-01, Vol.23 (1), p.94-96
Main Authors: Vaidya, Kriti, Gor, Shivani, Ahmed, Azeem, Waheed, Amir
Format: Article
Language:English
Subjects:
Biopsy
Carotid arteries
Dissection
Giant cell arteritis
Headaches
Horner's syndrome
Ischemia
Medical diagnosis
Patients
Rheumatology
Steroids
Stroke
Vein & artery diseases
vertebral dissection
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Summary:We present a case of an 82-year-old woman presenting with left-sided Horner's syndrome and stroke. She also had a 6-week history of intermittent dizziness, reduced appetite, lethargy, muscle stiffness and weight loss. Examination revealed left temporal artery and left posterior auricular artery tenderness. Her ESR showed 62 mm/hr and imaging showed left vertebral artery dissection. Temporal artery biopsy was positive. The case highlights a rare presentation of giant cell arteritis with Horner's syndrome and left vertebral artery dissection. High clinical suspicion is required to prevent delay in diagnosis and treatment.
ISSN:1470-2118
1473-4893
DOI:10.7861/clinmed.2022-0479