We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
An approach to the patient with painful ophthalmoplegia, with a focus on Tolosa-Hunt syndrome.
- Authors
Gladstone, Jonathan P
- Abstract
The differential diagnosis of painful ophthalmoplegia is extensive and consists of numerous sinister etiologies, including neoplasms (ie, primary intracranial tumors, local or distant metastases), vascular (eg, aneurysm, carotid dissection, and carotid-cavernous fistula), inflammatory (ie, orbital pseudotumor, giant cell arteritis, sarcoidosis, and Tolosa-Hunt syndrome), and infectious etiologies (ie, fungal and mycobacterial), as well as other miscellaneous conditions (ie, ophthalmoplegic migraine and microvascular infarcts secondary to diabetes). A systematic approach to the evaluation of painful ophthalmoplegia can lead to prompt recognition of serious disorders that can be associated with significant morbidity or mortality if left untreated. Inflammatory conditions such as Tolosa-Hunt syndrome and orbital pseudotumor are highly responsive to corticosteroids but should be diagnoses of exclusion.
- Publication
Current pain and headache reports, 2007, Vol 11, Issue 4, p317
- ISSN
1531-3433
- Publication type
Journal Article
- DOI
10.1007/s11916-007-0211-7