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Meniere's syndrome: An atypical presentation of giant cell arteritis (temporal arteritis)
Author(s) -
Mckennan Kevin X.,
Nielsen Surl L.,
Watson Craig,
Wiesner Ken
Publication year - 1993
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-199310000-00005
Subject(s) - giant cell arteritis , medicine , arteritis , prednisone , presentation (obstetrics) , dermatology , vasculitis , pathology , radiology , surgery , disease
The authors discuss three patients with biopsyproven giant cell arteritis (GCA) who experienced significant auditory and vestibular symptoms. Two of the patients who presented with audiovestibular symptomatology died as a direct result of GCA affecting the vertebral arteries. Postmortem findings are reported. This report illustrates the importance of maintaining a high index of suspicion of GCA in elderly patients who present with the acute onset of audiovestibular symptoms. These symptoms can be a herald of brain stem infarction if giant cell arteritis is the underlying cause. High‐dose prednisone and rheumatologic/neurologic consultation is required.