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March 1984

Giant Cell Arteritis of the Posterior Cerebral Circulation Presenting With Ataxia and Ophthalmoplegia

Author Affiliations

From the Department of Ophthalmology, University of Connecticut Medical Center, Farmington (Drs Monteiro and Coppeto). Dr Greco is in private practice in Waterbury, Conn. Dr Monteiro was a fellow in Neuro-ophthalmology from the Department of Ophthalmology, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, Brazil.

Arch Ophthalmol. 1984;102(3):407-409. doi:10.1001/archopht.1984.01040030325029

• Two patients had truncal ataxia, upbeat nystagmus, and upgaze palsy. Initially, a paraneoplastic disorder was suspected, but a temporal artery biopsy revealed giant cell arteritis (GCA). This unusual clinical manifestation of GCA probably resulted from thromboembolic complications of vertebral arteritis.

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