Skip to main content

Advertisement

Log in

Orbital giant cell arteritis: two cases of bilateral orbital inflammation and arterial diffusion restriction on MRI

  • Letter to the Editors
  • Published:
Journal of Neurology Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

References

  1. Dejaco C, Brouwer E, Mason JC, Buttgereit F, Matteson EL, Dasgupta B (2017) Giant cell arteritis and polymyalgia rheumatica: current challenges and opportunities. Nat Rev Rheumatol 13(10):578–592. https://doi.org/10.1038/nrrheum.2017.142

    Article  PubMed  Google Scholar 

  2. Hayreh SS, Podhajsky PA, Zimmerman B (1998) Ocular manifestations of giant cell arteritis. Am J Ophthalmol 125(4):509–520. https://doi.org/10.1016/s0002-9394(99)80192-5

    Article  CAS  PubMed  Google Scholar 

  3. Donaldson L, Margolin E (2022) Vision loss in giant cell arteritis. Pract Neurol 22(2):138–140. https://doi.org/10.1136/practneurol-2021-002972

    Article  PubMed  Google Scholar 

  4. Mohammed-Brahim N, Clavel G, Charbonneau F, Duron L, Picard H, Zuber K et al (2019) Three Tesla 3D high-resolution vessel wall MRI of the orbit may differentiate arteritic from nonarteritic anterior ischemic optic neuropathy. Invest Radiol 54(11):712–718. https://doi.org/10.1097/rli.0000000000000595

    Article  PubMed  Google Scholar 

  5. Lee AG, Tang RA, Feldon SE, Pless M, Schiffman JS, Rubin RM et al (2001) Orbital presentations of giant cell arteritis. Graefes Arch Clin Exp Ophthalmol 239(7):509–513. https://doi.org/10.1007/s004170100310

    Article  CAS  PubMed  Google Scholar 

  6. Arida A, Kyprianou M, Kanakis M, Sfikakis PP (2010) The diagnostic value of ultrasonography-derived edema of the temporal artery wall in giant cell arteritis: a second meta-analysis. BMC Musculoskelet Disord 11:44. https://doi.org/10.1186/1471-2474-11-44

    Article  PubMed  PubMed Central  Google Scholar 

  7. Luqmani R, Lee E, Singh S, Gillett M, Schmidt WA, Bradburn M et al (2016) The role of ultrasound compared to biopsy of temporal arteries in the diagnosis and treatment of giant cell arteritis (TABUL): a diagnostic accuracy and cost-effectiveness study. Health Technol Assess 20(90):1–238. https://doi.org/10.3310/hta20900

    Article  PubMed  PubMed Central  Google Scholar 

  8. Hellmich B, Agueda A, Monti S, Buttgereit F, de Boysson H, Brouwer E et al (2020) 2018 Update of the EULAR recommendations for the management of large vessel vasculitis. Ann Rheum Dis 79(1):19–30. https://doi.org/10.1136/annrheumdis-2019-215672

    Article  PubMed  Google Scholar 

  9. Mackie SL, Dejaco C, Appenzeller S, Camellino D, Duftner C, Gonzalez-Chiappe S et al (2020) British Society for Rheumatology guideline on diagnosis and treatment of giant cell arteritis. Rheumatology 59(3):e1–e23. https://doi.org/10.1093/rheumatology/kez672

    Article  PubMed  Google Scholar 

  10. Poillon G, Collin A, Benhamou Y, Clavel G, Savatovsky J, Pinson C et al (2020) Increased diagnostic accuracy of giant cell arteritis using three-dimensional fat-saturated contrast-enhanced vessel-wall magnetic resonance imaging at 3 T. Eur Radiol 30(4):1866–1875. https://doi.org/10.1007/s00330-019-06536-7

    Article  PubMed  Google Scholar 

  11. Pieri A, Milligan R, Hegde V, Hennessy C (2013) Temporal artery biopsy: are we doing it right? Int J Health Care Qual Assur 26(6):559–563. https://doi.org/10.1108/ijhcqa-06-2012-0055

    Article  PubMed  Google Scholar 

  12. Deyholos C, Sytek MC, Smith S, Cardella J, Orion KC (2020) Impact of temporal artery biopsy on clinical management of suspected giant cell arteritis. Ann Vasc Surg 69:254–260. https://doi.org/10.1016/j.avsg.2020.06.012

    Article  PubMed  Google Scholar 

  13. Ponte C, Grayson PC, Robson JC, Suppiah R, Gribbons KB, Judge A et al (2022) 2022 American College of Rheumatology/EULAR classification criteria for giant cell arteritis. Ann Rheum Dis 81(12):1647–1653. https://doi.org/10.1136/ard-2022-223480

    Article  CAS  PubMed  Google Scholar 

  14. Taylor E, Tona F, Singh-Curry V, Venter M, Carulli M, Tench C et al (2022) DWI scalp dot sign: superficial temporal artery restricted diffusion in giant cell arteritis. Rheumatology. https://doi.org/10.1093/rheumatology/keac502

    Article  PubMed  PubMed Central  Google Scholar 

  15. Ironi G, Tombetti E, Napolitano A, Campolongo M, Fallanca F, Incerti E et al (2018) Diffusion-weighted magnetic resonance imaging detects vessel wall inflammation in patients with giant cell arteritis. JACC Cardiovasc Imaging 11(12):1879–1882. https://doi.org/10.1016/j.jcmg.2018.06.015

    Article  PubMed  Google Scholar 

Download references

Funding

This case series received no dedicated internal or external funding.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Luke Dixon.

Ethics declarations

Conflicts of interest

There are no financial or other conflicts of interest to disclose.

Ethical approval

Both patients gave explicit informed consent to report their clinical cases.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Dixon, L., Colquhoun, M., Taylor, E. et al. Orbital giant cell arteritis: two cases of bilateral orbital inflammation and arterial diffusion restriction on MRI. J Neurol 270, 2793–2797 (2023). https://doi.org/10.1007/s00415-023-11593-6

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00415-023-11593-6

Navigation