Abstract
We report and old male case of subdural hematoma associated with temporal arteritis. The case is a 75-year-old man who had a sudden on set of headache. The diagnosis of subdural hematoma was made by a neurosurgeon. He had been suffered from pyrexia. On physical examination, stiff neck was noted. His erythrocyte sedimentation rate was 72mm/hr, C-reative protein (CRP) was positive in a high titer, and rheumatoid factor elevated. A biopsy specimen taken from bilateral temporal artery showed necrotic arteritis. Steroid therapy with prednisolone (30mg/day) was stared. After the therapy, headache and pyrexia were improved with laboratory improvment.
Several reports have stated CNS involvement from PN, such as cerebral hemorrhage, subarchroid hemorrhage, and cerebral thrombosis. He is thought to be a rare case of temporal arteritis with subdural hematoma.
