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Christos Lazaridis, MD; Amir Torabi, MD; Stephen Cannon, MD, PhD

Arch Neurol. 2005;62:1766-1768.

Background  Bilateral oculomotor palsy is a rare manifestation of temporal arteritis, and to our knowledge only 1 case has been described in the literature.

Objective  To investigate a possible case of temporal arteritis in a patient with bilateral third nerve palsy.

Design  Case report and review.

Setting  University hospital.

Patient  A 65-year-old man had subacute pupil-sparing bilateral third nerve palsy.

Results  Temporal artery biopsy findings and response to corticosteroids are consistent with temporal arteritis.

Conclusion  Temporal arteritis is a rare cause of ophthalmoplegia in elderly persons and may be unrecognized.

Author Affiliations: Department of Neurology, The University of Texas Southwestern Medical Center, Dallas.