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What Causes Sharp Right Sided Temporal Pain While Doing Exercises?
My brother-in-law is a white male, wt 217, ht 5/9, has only one kidney and is 68 (dob 7/5) He walked on the beach yesterday for 2hrs with hat and sunglasses. He exercises qod, walking. This am he experienced sharp rt sided temporal pain after bending over to do stretching exercises. His rt pupil was dilated x1 hr and he still is having c/o blurred vision. No floaters or flashes. He was seen by his MD at noon today, blood work done and Rx Prednisone regimen to reduce possible inflammation in temporal artery. BP is usually 120/80. At office it was 160/90 and is still elevated this evening while resting. He takes Lisinopril and ASA. Tomorrow he is scheduled for a CAT scan and more blood work. Does he need to be seen in ER to r/o possible TMI or pending stroke?
Tue, 18 Oct 2022
Hello,
Temporal arteritis is also called giant cell arteritis. It is a form of vasculitis (inflammation of the blood vessels). The condition usually affects people over the age of 50. If not diagnosed and treated quickly, temporal arteritis can cause damage to eyesight, including sudden blindness in one or both eyes, damage to blood vessels, such as an aneurysm (a ballooning blood vessel that may burst), other disorders, including stroke or transient ischemic attacks (“mini-strokes”).
The most common symptom of temporal arteritis is a throbbing, continuous headache on one or both sides of the forehead. Other symptoms include jaw pain, tenderness on scalp, fever, and vision problems. A thorough clinical examination is necessary for diagnosis and other tests like MRI, PET scan may be very useful.
The treatment options include oral steroids like prednisolone, a new drug called tocilizumab is available. The patient should not smoke, and alcohol should be kept to a minimum. So please see the physician on an emergency basis and get him treated to prevent further damage due to poor blood circulation.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
Temporal arteritis is also called giant cell arteritis. It is a form of vasculitis (inflammation of the blood vessels). The condition usually affects people over the age of 50. If not diagnosed and treated quickly, temporal arteritis can cause damage to eyesight, including sudden blindness in one or both eyes, damage to blood vessels, such as an aneurysm (a ballooning blood vessel that may burst), other disorders, including stroke or transient ischemic attacks (“mini-strokes”).
The most common symptom of temporal arteritis is a throbbing, continuous headache on one or both sides of the forehead. Other symptoms include jaw pain, tenderness on scalp, fever, and vision problems. A thorough clinical examination is necessary for diagnosis and other tests like MRI, PET scan may be very useful.
The treatment options include oral steroids like prednisolone, a new drug called tocilizumab is available. The patient should not smoke, and alcohol should be kept to a minimum. So please see the physician on an emergency basis and get him treated to prevent further damage due to poor blood circulation.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
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