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An unusual case of giant cell arteritis
  1. Mathilde Pauls,
  2. Mantegh Singh,
  3. Peter Martin
  1. Addenbrooke's Hospital Department of Neurology, Cambridge, UK
  1. Correspondence to Dr Mathilde Pauls, Addenbrooke's Hospital Department of Neurology, Cambridge CB2 0QQ, UK; mathilde.pauls{at}


A 73-year-old man presented with unsteadiness and general malaise and later had problems with cognition. This was initially diagnosed as benign paroxysmal positional vertigo, but he was later found to have giant cell arteritis. Neurologists and physicians should be aware that giant cell arteritis can present with encephalopathy rather than the more typical features of headache, jaw pain and visual disturbance.

  • cerebrovascular disease
  • vasculitis
  • stroke
  • vertigo

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  • Contributors All authors contributed to this case clinically, as well as to the writing and review of this manuscript.

  • Funding The authors have not declared a specific grant for this work from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned. Externally peer reviewed by Ed Newman, Glasgow, UK and Richard Davenport, Edinburgh, UK.

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