RESUMEN
Temporal arteritis is a rheumatic disease that affects large and medium-sized arteries. It is a severe arteritis involving both the intima and media of the vessel and is a cause of headache that is frequently diagnosed erroneously as "atypical migraine." The patients have a burning or throbbing type of pain. Ultimately, there is localized inflammation or cellulitis over the swollen, tortuous artery. Jaw claudication, eye pain, photophobia, diplopia, and even blindness may accompany the temporal symptoms. As many as 20% to 60% of inadequately treated or untreated patients will lose their vision. Blindness may or may not be preceded by visual symptoms and funduscopic changes. A variety of systemic symptoms are also often present, including nausea, vomiting, chills, dizziness, and loss of weight. Temporal arteritis is not a common diagnosis in maxillofacial practice. We are presenting a case of temporal arteritis diagnosed after a biopsy. The patient eventually lost the vision from one eye.
Asunto(s)
Arteritis de Células Gigantes , Anciano , Angiografía , Antiinflamatorios/uso terapéutico , Antirreumáticos/uso terapéutico , Biopsia , Ceguera/etiología , Femenino , Arteritis de Células Gigantes/complicaciones , Arteritis de Células Gigantes/diagnóstico , Arteritis de Células Gigantes/tratamiento farmacológico , Humanos , Metotrexato/uso terapéutico , Metilprednisolona/uso terapéuticoRESUMEN
Trigeminal neuralgia, which may involve one or more branches of the trigeminal nerve, is considered to produce one of the most severe types of pain. As it may be associated with other conditions, in some cases, the patient is subjected to unnecessary treatment. A case of nonidiopathic trigeminal neuralgia associated with internal carotid aneurysm, is presented.
