Temporal arteritis with normal erythrocyte sedimentation rates presenting as occipital neuralgia.

@article{Jundt1991TemporalAW,
  title={Temporal arteritis with normal erythrocyte sedimentation rates presenting as occipital neuralgia.},
  author={Jeffrey W. Jundt and Dennis Mock},
  journal={Arthritis and rheumatism},
  year={1991},
  volume={34 2},
  pages={217-9}
}
A retrospective review of 46 patients with biopsy-proven giant cell (temporal) arteritis revealed 8 (17%) whose initial presentation was occipital pain. The most likely etiology of occipital pain in these patients was occipital artery inflammation. A Westergren erythrocyte sedimentation rate less than 40 mm/hour was noted at presentation in 6 of these 8 patients. Giant cell arteritis should be considered in the differential diagnosis of elderly patients who present with occipital pain and… CONTINUE READING

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