Article Text

Download PDFPDF

099 Optic perineuritis in giant cell arteritis
  1. Elaine Pang1,2 and
  2. Neha Irani1,2,3,4
  1. 1Fiona Stanley Hospital, Murdoch, WA, Australia
  2. 2Sir Charles Gairdner Hospital, Nedlands, WA, Australia
  3. 3Fremantle Hospital, Fremantle, WA, Australia
  4. 4Joondalup Health Campus, Perth, WA, Australia


Background Optic perineuritis (OPN) is a rare orbital inflammatory disease which targets the optic nerve sheath. Although OPN is predominantly idiopathic, it can be secondary to an array of inflammatory, infective or malignant conditions, including giant cell arteritis (GCA).

Methods/Results We describe a case of a 75-year-old man with a four-week history of headaches with associated periorbital swelling, and monocular decrease visual acuity without significant constitutional or systemic symptoms. This was in the context of initially normal ESR and CRP. MRI head demonstrated bilateral OPN and GCA was subsequently confirmed based on temporal artery biopsy. He was managed with high dose prednisolone and upadacitinib.

Conclusions This case highlights the perineuritis as a rare manifestation of GCA.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.