TY - JOUR T1 - A stroke of bad luck JF - Clinical Medicine JO - Clin Med SP - 685 LP - 687 DO - 10.7861/clinmedicine.14-6-685 VL - 14 IS - 6 AU - Subramaniam Nagasayi AU - Susan White AU - Yogesh Joshi Y1 - 2014/12/01 UR - http://www.rcpjournals.org/content/14/6/685.abstract N2 - 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. ER -