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Multiple Cranial Nerve Palsies in Giant Cell Arteritis

Ross, Michael MD; Bursztyn, Lulu MD; Superstein, Rosanne MD; Gans, Mark MD

doi: 10.1097/WNO.0000000000000529
Original Contribution

Abstract: Giant cell arteritis (GCA) is a systemic vasculitis of medium and large arteries often with ophthalmic involvement, including ischemic optic neuropathy, retinal artery occlusion, and ocular motor cranial nerve palsies. This last complication occurs in 2%–15% of patients, but typically involves only 1 cranial nerve. We present 2 patients with biopsy-proven GCA associated with multiple cranial nerve palsies.

Department of Ophthalmology (MR), McGill University, McGill Academic Eye Centre, Montreal, Quebec, Canada; Department of Ophthalmology (LB), Ivey Eye Institute, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada; and Department of Ophthalmology (RS, MG), McGill University Montreal, Quebec, Canada.

Address correspondence to Michael Ross, MD, Department of Ophthalmology, McGill University, McGill Academic Eye Centre, 5252 de Maisonneuve West, Suite 400, Montreal, Quebec H4A 3S5, Canada; E-mail:

The authors report no conflicts of interest.

© 2017 by North American Neuro-Ophthalmology Society