Background: Bilateral oculomotor palsy is a rare manifestation of temporal arteritis, and to our knowledge only 1 case has been described in the literature.
Objective: To investigate a possible case of temporal arteritis in a patient with bilateral third nerve palsy.
Design: Case report and review.
Setting: University hospital.
Patient: A 65-year-old man had subacute pupil-sparing bilateral third nerve palsy.
Results: Temporal artery biopsy findings and response to corticosteroids are consistent with temporal arteritis.
Conclusion: Temporal arteritis is a rare cause of ophthalmoplegia in elderly persons and may be unrecognized.