Headache and Impaired Vision – a Case Report

DOI: 10.3238/zfa.2017.0073-0075

german translation / full article

Matthias Michiels-Corsten, Christoph Paul

Keywords: case report headache giant cell arteritis (GCA) temporal arteritis arteritic anterior ischemic optic neuropathy (AAION)

Background: Headache is a common reason for encounter with family practitioners (FP). Giant cell arteritis (GCA) is a rare but severe cause of headache, which can – if not treated timely – lead to serious disease, including amaurosis, as in this case.

Case Report: A 83 year old man consults his FP. He has been suffering from a headache for the last weeks and has already been seen by appropriate specialists. Even though the correct diagnostic steps are taken and diagnosis of GCA is made, the administered therapeutic regime is not able to prevent a binocular amaurosis.

Conclusions: GCA is an important differential diagnosis in elderly patients suffering from headache as it can lead to avoidable life threatening disease or severe impairments. Consequently diagnostic steps have to be promptly undertaken to permit treatment without undue delay.

(State: 22.02.2017)

Latest Issue 9/2020

In Focus

  • Clinical Characteristics of SARS-CoV-2 Tested Patients
  • Urinary Incontinence in Family Practice
  • Challenges in Southern Bavarian Primary Care Practices During the COVID-19 Pandemic