Definition
Temporal arteritis is inflammation and damage to blood vessels that supply the head area, particularly the large or medium arteries that branch from the neck.
If the inflammation affects the arteries in your neck, upper body and arms, it is called giant cell arteritis.
Symptoms
- Excessive sweating
- Fever
- General ill feeling
- Jaw pain, intermittent or when chewing
- Loss of appetite
- Muscle aches
- Throbbing headache on one side of the head ...
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Definition
Temporal arteritis is inflammation and damage to blood vessels that supply the head area, particularly the large or medium arteries that branch from the neck.
If the inflammation affects the arteries in your neck, upper body and arms, it is called giant cell arteritis.
Symptoms
- Excessive sweating
- Fever
- General ill feeling
- Jaw pain, intermittent or when chewing
- Loss of appetite
- Muscle aches
- Throbbing headache on one side of the head or the back of the head
- Scalp sensitivity, tenderness when touching the scalp
- Vision difficulties
- Blurred vision
- Double vision
- Reduced vision (blindness in one or both eyes)
- Weakness, excessive tiredness
- Weight loss (more than 5% of total body ...
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Causes
Temporal, giant cell, and cranial arteritis occurs when there is inflammation and death of one or more arteries. It most commonly occurs in the head, especially in the temporal arteries that branch from the carotid artery of the neck. However, it can be systemic , affecting multiple medium-to-large sized arteries anywhere in the body.
The cause is unknown but is assumed to be, at least in part, an effect of the immune response . The disorder has been associated with severe infections and high doses of antibiotics.
The disorder may develop along with or after polymyalgia rheumatica . Giant cell arteritis is seen almost exclusively in those over 50 years old, but may occasionally occur in younger people. It is rare in people of African descent. There is some evidence that it runs in families.
Treatment
The goal of treatment is to reduce tissue damage that may occur because of lack of blood flow.
Your doctor may prescribe corticosteroids to reduce inflammation. Corticosteroid treatment may be started even before a biopsy confirms the diagnosis. Aspirin may also be recommended.
Medications that suppress the immune system are occasionally prescribed.
Other Names
Arteritis - temporal; Cranial arteritis; Giant cell arteritis
Possible Complications
Possible complications, especially if not treated properly or promptly, include:
- Sudden vision loss or eye muscle weakness
- Damage to other blood vessels in the body
- TIA or stroke
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Outlook (Prognosis)
Most people make a full recovery, but long-term treatment (for 1 to 2 years) may be needed. The condition may return at a later date.
Prevention
There is no known prevention.
Exams and Tests
The doctor will examine your head. Touching the head may show that the scalp is senstive and has a tender, thick artery on one side. The affected artery may have a weak pulse or no pulse.
Blood tests may include:
Blood tests cannot specifically diagnose this condition. A biopsy and examination of tissue from the affected artery show changes that confirm the diagnosis of temporal vasculitis in most cases.
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