Abstract
Background: Oculomotor nerves palsy is a less common complication of giant cell arteritis (GCA) than ischemic optic neuritis, nevertheless it occurs in at least 10% of cases. Other rare complications are cerebrovascular ischemic events, which occur in about 7% of cases. The latter can underlie intra-extracranial vessel stenosis or occlusion, mainly in vertebro-basilar territory, but also an arterial-embolic stroke is possible. Aims: We first report a case of histologically proven GCA in which occurred two rare clinical manifestations, both peripheral oculomotor nerves palsy and acute cerebral ischemic stroke. Besides, PET-MRI compatible with aortitis was found, and arterial-embolic etiology of the stroke was hypothesized.
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