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438 Possible Causes for Diplopia, Painful Ophthalmoplegia

  • Migraine

    Recurrent painful ophthalmoplegic neuropathy (RPON) is a rare condition that manifests as headache and ophthalmoplegia. It typically occurs in children.[ncbi.nlm.nih.gov] Google Scholar Crossref Medline ISI Hannerz, J. ( 1988 ) Pathoanatomic studies in a case of Tolosa-Hunt syndrome. Cephalalgia 8: 25 – 30.[doi.org] […] variant form of the typical migraine but in which headache is absent or not a prominent symptom: (1) : a condition in which an aura involving visual disturbances (such as diplopia[merriam-webster.com]

  • Cavernous Sinus Aneurysm

    […] lesions Tolosa-Hunt syndrome: Isolated or combined, painful ophthalmoplegia Herpes zoster: Acute zoster ophthalmicus, typical skin lesion, and keratitis Sarcoidosis: Systemic[emedicine.medscape.com] Seven patients complained of horizontal diplopia, whereas two had vertical diplopia and one had oblique diplopia.[jnnp.bmj.com] Angiographic findings in the Tolosa-Hunt syndrome: Painful ophthalmoplegia. Radiology. 1973. 106: 105-12 26. Takeoka T, Gotoh F, Fukuuchi Y, Inagaki Y.[surgicalneurologyint.com]

  • Orbital Floor Fracture

    Severe pain may indicate retrobulbar haemorrhage - especially if associated with visual loss or ophthalmoplegia.[patient.info] The secondary outcome variable was diplopia.[ncbi.nlm.nih.gov] Mono-ocular diplopia can be noted as an associated symptom to prompt early surgical repair.[ncbi.nlm.nih.gov]

  • Orbital Metastasis

    Tolosa-Hunt syndrome Tolosa-Hunt syndrome is a recurrent, idiopathic, painful inflammatory condition caused by inflammation of the cavernous sinus or superior orbital fissure[jbsr.be] To present the case of a radioiodine therapy-naïve thyroid cancer patient with postthyroidectomy diplopia. A 63-year-old male patient presented with goiter.[ncbi.nlm.nih.gov] Reifler and Davison 6 described the use of fluorescent immunohistochemistry to demonstrate estrogen and progesterone receptors in a 62-year-old with pain, ptosis, and ophthalmoplegia[jamanetwork.com]

  • Basilar-Type Migraine

    The basilar-type aura comprised diplopia 52%, vertigo 43%, tinnitus 43%, bilateral visual symptoms 39%, hypacusia 26%, ataxia 26%, dysarthria 22%, bilateral paresthesias 13%[ncbi.nlm.nih.gov] The basilar-type aura had a median duration of 60 minutes and comprised vertigo 61%, dysarthria 53%, tinnitus 45%, diplopia 45%, bilateral visual symptoms 40%, bilateral paresthesias[ncbi.nlm.nih.gov] […] is the most common migraine "variant," representing 3-19% of migraine in children.BMis characterized by attacks of dizziness, vertigo, visual disturbances, ataxia, and/or diplopia[ncbi.nlm.nih.gov]

  • Temporal Arteritis

    hunt syndrome Orbital and cavernous sinus compressive lesions Migraine headache Lyme disease Herpes zoster ophthalmicus Trigeminal neuralgia Diabetes Poorly Controlled hypertension[physio-pedia.com] Classic symptoms include polymyalgia rheumatica, new-onset headache, jaw claudication, and visual symptoms such as diplopia and amaurosis fugax.[ncbi.nlm.nih.gov] Jaw claudication, eye pain, photophobia, diplopia, and even blindness may accompany the temporal symptoms.[ncbi.nlm.nih.gov]

  • Oculomotor Nerve Paralysis

    […] known as Tolosa Hunt Syndrome.[eyewiki.aao.org] In diplopia one image is distinct (true image), and the other is indistinct (false image). Binocular diplopia disappears when one eye is closed.[thamburaj.com] Third nerve palsy typically manifests as diplopia and ptosis.[aafp.org]

  • Orbital Cellulitis

    Tolosa-Hunt-Syndrom (Abbreviations & acronyms: THS) Comments: Manche Terminologien differenzieren zwischen dem Orbitaspitzensyndrom und dem Tolosa-Hunt-Syndrom.[zeitzfrankozeitz.de] Abstract The authors describe the case of a 48 years old woman who presented with a one week history of a painful, swollen left eye with proptosis and diplopia.[ncbi.nlm.nih.gov] It manifests with erythema and edema of the eyelids, vision loss, fever, headache, proptosis, chemosis, and diplopia.[ncbi.nlm.nih.gov]

  • Cavernous Sinus Thrombosis

    Kline, The Tolosa-Hunt syndrome, Survey of Ophthalmology, 27, 2, (79), (1982). M. J. A. J. M. Hoes, G. W. Bruyn and G. J.[doi.org] An allograft recipient is described who presented with diplopia and developed CST in the early post-transplant period likely caused by a filamentous fungus.[ncbi.nlm.nih.gov] A previously healthy 14-year-old boy developed headache, stiff neck, fever, diplopia, right proptosis, and right complete sixth and partial third cranial nerve palsies.[ncbi.nlm.nih.gov]

  • Tolosa-Hunt Syndrome

    Inflammatory conditions such as Tolosa-Hunt syndrome and orbital pseudotumor are highly responsive to corticosteroids, but should be diagnoses of exclusion.[ncbi.nlm.nih.gov] One month later, he presented with a subacute ocular pain that was followed one day later by the appearance of vertical diplopia attributable to a right superior rectus paresis[ncbi.nlm.nih.gov] In this report, we detail the case of a 6-year-old boy who presented with several weeks of unilateral headache and diplopia.[ncbi.nlm.nih.gov]

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