Giant cell (temporal) arteritis commonly presents in older females with unilateral headache and sudden loss of vision. Swelling and tenderness over the temporal artery is also a common finding. Elevated ESR also points to the diagnosis. (FA2020 p314).
ALS would present more commonly with upper and lower motor neuron signs together. Cerebral infarction presents with different stroke signs, and this presentation does not fit any potential stroke presentation (found FA2020 p514). Though multiple sclerosis may present with acute optic neuritis (painful vision loss), it is a relapsing/remitting course of disease and more commonly presents in women in their 20-30s; it also would not be associated with elevated ESR or swelling. Trigeminal neuralgia is episodes of shooting/shocking pain in a trigeminal region that typically lasts less than 15 minutes, not for days as described here.
submitted by โcassdawg(1780)
Giant cell (temporal) arteritis commonly presents in older females with unilateral headache and sudden loss of vision. Swelling and tenderness over the temporal artery is also a common finding. Elevated ESR also points to the diagnosis. (FA2020 p314).
ALS would present more commonly with upper and lower motor neuron signs together. Cerebral infarction presents with different stroke signs, and this presentation does not fit any potential stroke presentation (found FA2020 p514). Though multiple sclerosis may present with acute optic neuritis (painful vision loss), it is a relapsing/remitting course of disease and more commonly presents in women in their 20-30s; it also would not be associated with elevated ESR or swelling. Trigeminal neuralgia is episodes of shooting/shocking pain in a trigeminal region that typically lasts less than 15 minutes, not for days as described here.