BACKGROUND: Bilateral oculomotor palsy is a rare manifestation of temporal arteritis, and to our knowledge only 1 case has been described in the literature. OBJECTIVE: To investigate a possible case of temporal arteritis in a patient with bilateral third nerve palsy. DESIGN: Case report and review. SETTING: University hospital. PATIENT: A 65-year-old man had subacute pupil-sparing bilateral third nerve palsy. RESULTS: Temporal artery biopsy findings and response to corticosteroids are consistent with temporal arteritis. CONCLUSION: Temporal arteritis is a rare cause of ophthalmoplegia in elderly persons and may be unrecognized.
BACKGROUND:Bilateral oculomotor palsy is a rare manifestation of temporal arteritis, and to our knowledge only 1 case has been described in the literature. OBJECTIVE: To investigate a possible case of temporal arteritis in a patient with bilateral third nerve palsy. DESIGN: Case report and review. SETTING: University hospital. PATIENT: A 65-year-old man had subacute pupil-sparing bilateral third nerve palsy. RESULTS: Temporal artery biopsy findings and response to corticosteroids are consistent with temporal arteritis. CONCLUSION:Temporal arteritis is a rare cause of ophthalmoplegia in elderly persons and may be unrecognized.