Abstract | BACKGROUND: Painful ophthalmoplegia is an infrequent but very important presentation in the acute care setting and requires a thorough neurologic evaluation to determine its cause. This clinical sign has a large differential and generally indicates a serious cerebrovascular process. CASE REPORT: We describe a patient with a subacute presentation of painful ophthalmoplegia, ultimately diagnosed as Tolosa-Hunt syndrome, a rare inflammatory process of the cavernous sinus. CONCLUSION: This case highlights the importance for the Emergency Physician to quickly recognize painful ophthalmoplegia and rapidly elucidate the cause to prevent further complications for the patient.
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Authors | Stephen Beckham, Hyung Kim, Anh Truong |
Journal | The Journal of emergency medicine
(J Emerg Med)
Vol. 44
Issue 2
Pg. e231-4
(Feb 2013)
ISSN: 0736-4679 [Print] United States |
PMID | 22981660
(Publication Type: Case Reports, Journal Article)
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Copyright | Copyright © 2013 Elsevier Inc. All rights reserved. |
Chemical References |
- Glucocorticoids
- Prednisone
|
Topics |
- Blepharoptosis
(etiology)
- Diplopia
(etiology)
- Emergency Service, Hospital
- Glucocorticoids
(therapeutic use)
- Humans
- Hypesthesia
(etiology)
- Magnetic Resonance Angiography
- Male
- Prednisone
(therapeutic use)
- Tolosa-Hunt Syndrome
(diagnosis, drug therapy)
- Tooth Extraction
- Young Adult
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