Great Western Hospital, Swindon, UK
Great Western Hospital, Swindon, UK.
Clin Med (Lond). 2023 Jan;23(1):94-96. doi: 10.7861/clinmed.2022-0479.
We present a case of an 82-year-old woman presenting with left-sided Horner's syndrome and stroke. She also had a 6-week history of intermittent dizziness, reduced appetite, lethargy, muscle stiffness and weight loss. Examination revealed left temporal artery and left posterior auricular artery tenderness. Her ESR showed 62 mm/hr and imaging showed left vertebral artery dissection. Temporal artery biopsy was positive.The case highlights a rare presentation of giant cell arteritis with Horner's syndrome and left vertebral artery dissection. High clinical suspicion is required to prevent delay in diagnosis and treatment.
我们报告一例 82 岁女性，以左侧霍纳氏综合征和中风为表现。她还存在 6 周间歇性头晕、食欲不振、乏力、肌肉僵硬和体重减轻病史。检查发现左侧颞动脉和左耳后动脉触痛。她的红细胞沉降率为 62mm/hr，影像学显示左侧椎动脉夹层。颞动脉活检阳性。该病例提示巨细胞动脉炎的一种罕见表现，伴霍纳氏综合征和左侧椎动脉夹层。需要高度的临床怀疑，以避免诊断和治疗延误。
