New Headaches with Ophtho Manifestations

Question 1

Non optic symptoms of GCA

Answer 1

Jaw claudication
Muscle aches/headache
Scalp tenderness
Diplopia
Temporal artery beading, prominence, or tenderness

Question 2

What can you see on fundoscopy in a brain tumor?

Answer 2

Swollen optic nerve
Blurred margins
Thin arteries, disc hemorrhages
Cotton wool spots

Question 3

Polymyalgia rheumatica

Answer 3

Associated with GCA
Inflammation of the bursa and periarticular structures
Aching and stiffness in proximal muscle groups
Symptoms worse in AM

Question 4

Treatment for GCA

Answer 4

High dose steroids

Not to improve the vision in the poor eye, but to prevent it from effecting the other eye

Question 5

CN3 sits right under what artery?

Answer 5

Posterior communicating artery (can be compressed by an aneursym)

Question 6

SNOOP

Answer 6

Systemic findings
Neurologic symptoms
Onset sudden, older than 40 or 50
Other red flags
Pattern change

Question 7

Is the superficial temporal artery the source of vision loss in GCA?

Answer 7

No!

It’s where the diagnosis is made and where the biopsy happens though

Question 8

GCA puts you at higher risk for what type of strokes?

Answer 8

Vertebrobasilar strokes

Question 9

2 symptoms you can see with a CN3 palsy

Answer 9

Ptosis

Double vision

Question 10

When is neuroimaging required if you suspect a CN3 palsy?

Answer 10

Incomplete 3rd nerve palsy
Pupil involvement
Not isolated