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39 Possible Causes for Painful Ophthalmoplegia, Patient Appears Acutely Ill

  • Migrainous Stroke

    We report a case of migraine-associated ischemic stroke causing amnesia, wherein treatment with propranolol may have been contributory. The possible mechanisms involved in migrainous stroke occurring in association with use of propranolol are discussed.[ncbi.nlm.nih.gov]

  • Basilar Migraine

    BACKGROUND: It remains uncertain whether basilar-type migraine (BM) is a subtype of migraine with typical aura (MTA) or a distinct phenotype or genotype. OBJECTIVE: To analyze the symptomatology, familial distribution, and genotype of BM. METHODS: The authors recruited 105 families comprising 362 patients with MTA[…][ncbi.nlm.nih.gov]

  • Acute Sinusitis

    Orbital involvement presents with painful ophthalmoplegia, diplopia, proptosis and decreased visual acuity.[racgp.org.au] ophthalmoplegia Peri-orbital oedema and erythema Globe displacement Patient education regarding correct use of nasal saline irrigations is vital to ensure appropriate delivery[racgp.org.au] […] perceived malodorous smell) Signs of meningitis (neck stiffness, photophobia) Altered neurology Frontal swelling Any orbital involvement: Diplopia Decreased visual acuity Painful[racgp.org.au]

  • Cerebral Thrombosis

    ophthalmoplegia. 1 An even less frequent presentation is a rapidly progressive illness with deepening coma, headache, nausea and pyramidal signs, due to extensive involvement[pmj.bmj.com] Cavernous sinus syndrome: painful ophthalmoplegia, chemosis and proptosis.[elsevier.es] […] are that of superior sagittal sinus thrombosis (4%) with bilateral or alternating deficits and/or seizures and cavernous sinus thrombosis (3%) with chemosis, proptosis and painful[pmj.bmj.com]

  • Pseudomonas Aeruginosa

    However, after 10 days, she returned to the emergency room, presenting with proptosis of the right eyeball, subconjunctival haemorrhage, ophthalmoplegia and intense pain in[ncbi.nlm.nih.gov]

  • Meningitis

    […] lymphocyte infiltration and inflammatory cells are classified, according to their topography, into idiopathic orbital pathology, idiopathic hypertrophic pachymeningitis, Tolosa-Hunt[neurologia.com] Hypopituitarism and diabetes insipidus with localized hypertrophic pachymeningitis (Tolosa-Hunt syndrome) associated with Hashimoto thyroiditis.[springermedizin.de] Fungal meningitis caused by a Malassezia species masquerading as painful ophthalmoplegia. Clin Neurol (Tokyo). 1993; 33 462 41 Watanabe S, Hironaga M.[dx.doi.org]

  • Orbital Abscess

    The patient has shown facial edema, ocular pain, ophthalmoplegia, proptosis, and initial visual symptoms.[ncbi.nlm.nih.gov] These infections typically present in children and young adults but can affect any age group. proptosis painful ophthalmoplegia chemosis reduced visual acuity Etiology Periorbital[radiopaedia.org] Most patients present with painful, unilateral periorbital swelling and erythema, chemosis, proptosis, visual impairment, and ophthalmoplegia.[link.springer.com]

  • Meningeal Tuberculosis

    ophthalmoplegia Stroke-associated lateralizing neurological deficits Opisthotonos, a condition characterized by unusual postures, with the neck and head arched backwards[hxbenefit.com] Other causes of visual impairment include chorioretinitis, optic neuritis, internuclear ophthalmoplegia, and, occasionally, an abrupt onset of painful ophthalmoplegia.[emedicine.medscape.com] […] encephalopathy Tuberculous spinal meningitis Poor feeding habits in children Photophobia or sensitivity to light Infections in upper respiratory tract Abrupt beginning of painful[hxbenefit.com]

  • Acute Dacryoadenitis

    Ocular infection is not usually suspected in the absence of local severe painful swelling and redness, and painless acute dacryoadenitis presenting as ophthalmoplegia and[jstage.jst.go.jp] In acute cases, where patients appear very ill and exhibit fevers, a CBC and blood cultures should be ordered.[reviewofophthalmology.com] 1 Sarcoidosis presenting with acute dacryoadenitis. ( 29257721 ) Roca M....Roca B. 2017 2 [Ophthalmoplegia without severe painful eyelid swelling in acute dacryoadenitis:[malacards.org]

  • Acute Juvenile Hemorrhagic Cystitis

    […] syndrome Stiff person syndrome (in some cases) Subacute bacterial endocarditis (SBE) Sympathetic ophthalmia Takayasu’s arteritis Temporal arteritis/Giant cell arteritis Tolosa-Hunt[donnajacksonnakazawa.com] The Tolosa-Hunt syndrome. J Neurol Neurosurg Psychiatry 2001;71:577-582 27.0 27.1 Kapur R, Sepahdari AR, Mafee MF, et al.[eyewiki.aao.org] syndrome The following allergic disorders involve a hypersensitive reaction of the immune system against the body itself.[donnajacksonnakazawa.com]

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