Thank you for posting your query.
It is good to note that the temporal artery biopsy
has ruled out a diagnosis of temporal arteritis
, as that has to be excluded on the basis of symptoms. However, your symptoms still favour a diagnosis of temporal arteritis, a condition in which there is inflammation of the temporal arteries. This leads to reduction of blood flow resulting in headaches
Deterioration in vision can also occur with temporal arteritis. Since you have no eye problem, the decline in vision could also be due to temporal arteritis.
I would suggest you do an MRI of brain with MR angiogram to find out any alternative cause of headaches. If it is normal, I would suggest you take a short course of oral steroids
as empirical treatment for temporal arteritis.
I hope it helps.
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist