RT Journal Article
SR Electronic
T1 Lessons of the month: Giant cell arteritis with Horner's syndrome and vertebral dissection
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 94
OP 96
DO 10.7861/clinmed.2022-0479
VO 23
IS 1
A1 Vaidya, Kriti
A1 Gor, Shivani
A1 Ahmed, Azeem
A1 Waheed, Amir
YR 2023
UL http://www.rcpjournals.org/content/23/1/94.abstract
AB 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.