Giant cell (temporal) arteritis

Neurol Clin. 1997 Nov;15(4):893-902. doi: 10.1016/s0733-8619(05)70354-6.


Headache is the most frequent symptom for which a patient with giant cell arteritis (GCA) presents to a neurologist. Amaurosis fugax and ischemic optic neuropathy are well recognized complications. Less commonly recognized neurologic complications include transient ischemic attacks, cerebral infarctions, acute confusional states, multi-infarct dementia, ischemic cervical myelopathy, and ischemic mononeuropathies. Because patients with GCA generally respond well to corticosteroid therapy, prompt diagnosis can minimize neurologic damage.

Publication types

  • Review

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Cerebrovascular Disorders / complications
  • Cranial Nerve Diseases / complications*
  • Giant Cell Arteritis / complications*
  • Giant Cell Arteritis / drug therapy
  • Humans
  • Methylprednisolone / therapeutic use
  • Prednisone / therapeutic use
  • Prognosis


  • Adrenal Cortex Hormones
  • Prednisone
  • Methylprednisolone