TY - JOUR T1 - Giant cell arteritis presenting with bilateral orbital inflammatory disease and enhancing superficial temporal arteries JF - Practical Neurology JO - Pract Neurol SP - 446 LP - 447 DO - 10.1136/practneurol-2014-000834 VL - 14 IS - 6 AU - Jamie R Mitchell AU - Iris Krashin-Bichler AU - Marc Rosenblum AU - Eli L Diamond AU - Marc J Dinkin Y1 - 2014/12/01 UR - http://pn.bmj.com/content/14/6/446.abstract N2 - A 68-year-old man with metastatic prostate cancer was admitted with a 1-week history of bilateral ‘conjunctivitis’, headaches and horizontal diplopia. On examination, the superficial temporal arteries were bilaterally prominent and indurated, with conjunctival injection and chemosis. There were bilateral abduction deficits, but visual acuity and fundi were normal. MR scan of the brain and orbits showed bilateral enhancement of the temporal arteries with intraconal fat stranding but with no extra-ocular muscle enlargement or orbital mass (figure 1A,B). His erythrocyte sedimentation rate was elevated at 103 mm/1st h (<20), serum C reactive protein was 14 mg/L (<10) and CSF: glucose 57, protein 31, cell count <1 analysis was normal. We … ER -