We describe herein a patient who presented with painful ophthalmoplegia and\nwas ultimately diagnosed via magnetic imaging resonance studies and successfully\ntreated for Tolosa-Hunt syndrome. Tolosa-Hunt syndrome is a rare,\nreversible and painful ophthalmoplegia characterized by recurrent unilateral\norbital pain, ipsilateral oculomotor paralysis and prompt response to steroids.\nSpecific criteria for its diagnosis exist and are discussed herein. Individuals affected\nmay display signs of select cranial nerve palsies, ptosis, facial numbness,\ndiplopia, midrosis, and proptosis. Appropriate recognition of the disease can\nallow for immediate intervention and thus decrease the length and severity of\nsymptoms especially as symptoms may not spontaneously resolve without\ntreatment which leads to unnecessary suffering through pain, anxiety, and decreased\nvision. We describe the case presentation and keys for diagnosis\nemergency medicine that physicians should know for this potentially devastating\ncondition.
Loading....