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Revista Clínica de Medicina de Familia

On-line version ISSN 2386-8201Print version ISSN 1699-695X


MAGALLANES GAMBOA, Jeffrey Oskar; NOTARIO BARBA, Verónica  and  MARCOS SANCHEZ, Fernando. Painful ophthalmoplegia. Rev Clin Med Fam [online]. 2019, vol.12, n.2, pp.105-108. ISSN 2386-8201.

Painful ophthalmoplegia is a rare entity characterized by orbital pain associated with ipsilateral oculomotor paralysis, and sometimes with ocular sympathetic involvement and sensitive impairment in the areas supplied by the maxillary and ophthalmic branches of the trigeminal nerve. It can be caused by numerous conditions, among them, vascular alterations, traumas, tumor diseases, or infections. We present the case of an 83-year-old man with headache in the left frontal region including the orbital region, associated with hypoesthesia and ipsilateral ptosis. He was diagnosed with Tolosa-Hunt syndrome, an idiopathic granulomatous inflammation of the cavernous sinus of unknown cause. Empirical treatment with corticosteroids was initiated, resulting in a rapid and significant recovery.

Keywords : Ophthalmoplegia; Tolosa-Hunt Syndrome; Headache.

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