The clinical neuro-ophthalmologic spectrum of temporal arteritis

Mark F. Mehler, Lydia Rabinowich

Research output: Contribution to journalArticlepeer-review

47 Scopus citations

Abstract

The range of neuro-ophthalmologic signs in temporal arteritis is broad and includes diverse presentations of ischemic optic neuropathy, retinal infarction, transient ischemic phenomena, ophthalmoparesis, pupillary autonomic and anterior ocular segment dysfunction, cortical blindness and associated post-chiasmal field defects, and complex visual hallucinations. Neurovascular compromise can follow arteritic lesions at multiple neuroanatomic sites, and reflects different pathogenetic mechanisms and displays distinctive clinical features. A variety of temporal clinical profiles and differential responses to corticosteroids occur. This article reviews the broad range of neuroanatomic pathways affected by diverse and potentially interactive etiologic factors in this systemic arteritis.

Original languageEnglish (US)
Pages (from-to)839-844
Number of pages6
JournalThe American Journal of Medicine
Volume85
Issue number6
DOIs
StatePublished - Dec 1988

ASJC Scopus subject areas

  • General Medicine

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