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Case Reports
Lessons of the month: Giant cell arteritis with Horner's syndrome and vertebral dissection.
- Kriti Vaidya, Shivani Gor, Azeem Ahmed, and Amir Waheed.
- Great Western Hospital, Swindon, UK kriti.vaidya@nhs.net.
- Clin Med (Lond). 2023 Jan 1; 23 (1): 949694-96.
AbstractWe 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.© Royal College of Physicians 2023. All rights reserved.
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