Giant Cell arteritis
This is commonly known as temporal arteritis, is a chronic granulomatous vasculitis of medium to large size vessels. Epidemiology Usually after 50 years old Mean age of onset 70 years old Woman 6 times more often than man Woman total life time risk is 1% Clinical Insidious onset, over...
Primary CNS vasculitis
Diagnosis is difficult. No specific clinical feature, no blood or imaging study that can confirm the diagnosis. No established consensus on making the diagnosis. Common features Headache Encephalopathy cognitive changes seizure Tests MRI head abnormal 93% CSF abnormal 74% CTA or MRA: multiple stenotic lesion in multiple or a...
Prolactinoma
Initial therapy with dopamine agonists Cabergoline 0.25 mg twice weekly; the dose may be increased by 0.25 mg twice weekly up to a maximum of 1 mg twice weekly according to the patient’s serum prolactin level. For woman who wishes to become pregnant, bromocriptine might be better There is...