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- Title
LESSON OF THE MONTH. Lesson of the month 2: A stroke of bad luck.
- Authors
Nagasayi, Subramaniam; White, Susan; Joshi, Yogesh
- Abstract
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.
- Subjects
STROKE diagnosis; ANGIOGRAPHY; ASPIRIN; COMPUTED tomography; HEADACHE; HEMIPLEGIA; MOTOR ability; SPEECH; STROKE; METHYLPREDNISOLONE
- Publication
Clinical Medicine, 2014, Vol 14, Issue 6, p685
- ISSN
1470-2118
- Publication type
Article
- DOI
10.7861/clinmedicine.14-6-685