A 64 year old lady Kamla complains of severe unilateral headache on the right side and blindness for 2 days. On examination there is a thick cord like structure on the lateral side of the head. The ESR is 80 mm/hr in the first hour. The most likely diagnosis is:
Answer is A (Temporal Aeritis): The symptom and the laboratory examination of the patients almost confirms the diagnosis of temporal aeritis. In an elderly patient who presents with headache, visual symptoms (blindness), malaise, fever, weakness with or without pain or tenderness over temporal aery (thick cord like structure) and a raised ESR, it is definitively suggestive of Temporal aeritis
Temporal aeritis
Migraine
Cluster headache
Sinusitis