Two Cases of Temporal Arteritis

J Korean Neurol Assoc > Volume 12(4); 1994 > Article

Journal of the Korean Neurological Association 1994;12(4): 754-757.

측두동맥염 2례

이성현, 이근호,전범석,지제근

서울대학교 신경과, 병리학.

Two Cases of Temporal Arteritis

Sung Hyun Lee, M.D., Geun Ho Lee, M.D., Beom Seok Jeon, M.D., Je Geun Chi, M.D.

Department of Neurology, College of Medicine, Seoul National University, Department of Pathology, College of Medicine, Seoul National University.

Abstract

Temporal arteritis is one of the most important causes of headache. If it is not recognized properly, patients might get werious complications such as blindness or stroke. Hence, early diagnosis and treatment with steroid are critical While temporal arteritis is frequently seen in western countries, it seems to be rare in Korea and is not reported in Korean literatures except one case report of the giant cell arteritis of the breast (1991). We report two patients, 66 and 75 years old males, who presented with 3 months history of throbbing headache in temporal regions. Erythrocyte sedimentation rate was accelerated in both cases. Superficial temporal artery was biopsied to reveal intimalthickening, elastic lamina fragmentation and a mild inflammatory cell infiltration. The patients responded dramatically to steroid therapy.