{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T20:55:03Z","timestamp":1770411303093,"version":"3.49.0"},"reference-count":9,"publisher":"IMR Press","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Hosp Med"],"published-print":{"date-parts":[[2006,5]]},"abstract":"<jats:p>An 80-year-old man was referred to hospital with a 2-week history of headache and 1 day of vertical diplopia, but was systemically well with no symptoms of giant cell arteritis (GCA). Past medical history included right central retinal vein occlusion, for which he had previously received panretinal photocoagulation. His full blood count and blood glucose were normal, erythrocyte sedimentation rate (ESR) 24 mm\/hr and C-reactive protein (CRP) 34 mg\/litre. Two days later, an ophthalmological review was requested.<\/jats:p>\n                  <jats:p>The visual acuity was 6\/36 right eye and 6\/9 left. There was a moderate exotropia with diplopia and a left ptosis with restriction of both elevation and adduction of the left eye; depression of the left eye was normal. The left fourth nerve appeared intact. Neither optic disc appeared swollen. In view of the painful left partial third nerve palsy, urgent magnetic resonance angiography was performed but showed no significant abnormality, suggesting a microvascular cause. A Fresnel prism was fitted to his spectacles with resolution of diplopia.<\/jats:p>\n                  <jats:p>Three weeks later, his symptoms had resolved. Although he remained well and had no symptoms of GCA, his left superficial temporal artery was markedly swollen, albeit non-tender. His ESR was 25 mm\/hr and CRP 30 mg\/litre. In light of his unusually rapid recovery, a diagnosis of atypical GCA was made and prednisolone started. Temporal artery biopsy confirmed GCA (Figures 1 and 2).<\/jats:p>","DOI":"10.12968\/hmed.2006.67.5.21069","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T09:37:41Z","timestamp":1400837861000},"page":"268-268","source":"Crossref","is-referenced-by-count":6,"title":["Giant cell arteritis presenting as painful third nerve palsy with normal erythrocyte sedimentation rate"],"prefix":"10.31083","volume":"67","author":[{"given":"Simon N","family":"Madge","sequence":"first","affiliation":[{"name":"Department of Ophthalmology,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard","family":"Klys","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John M","family":"Twomey","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Musgrove Park Hospital, Taunton"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","reference":[{"key":"p_2","volume-title":"found","author":"Conversely","year":"1984"},{"key":"p_19","volume-title":"found that the ESR of","author":"Hayreh","year":"1997"},{"key":"p_24","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/100.2.209"},{"key":"p_25","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.30.10.1054"},{"key":"p_26","doi-asserted-by":"publisher","DOI":"10.1016\/S0950-3579(05)80064-0"},{"key":"p_27","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(14)70123-0"},{"key":"p_28","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.10.5.490"},{"key":"p_29","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(200104)45:2<140::AID-ANR166>3.0.CO;2-2"},{"key":"p_30","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1984.04050130093032"}],"container-title":["British Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/hmed.2006.67.5.21069","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T10:19:46Z","timestamp":1770373186000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.imrpress.com\/journal\/BJHM\/67\/5\/10.12968\/hmed.2006.67.5.21069"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,5]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2006,5]]}},"alternative-id":["10.12968\/hmed.2006.67.5.21069"],"URL":"https:\/\/doi.org\/10.12968\/hmed.2006.67.5.21069","relation":{},"ISSN":["1750-8460","1759-7390"],"issn-type":[{"value":"1750-8460","type":"print"},{"value":"1759-7390","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,5]]}}}