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35 Possible Causes for Painful Ophthalmoplegia, Retroorbital Pain

  • Orbital Floor Fracture

    Severe pain may indicate retrobulbar haemorrhage - especially if associated with visual loss or ophthalmoplegia.[patient.info]

  • 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] 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] (21%), ophthalmoplegia, and diplopia (18%).[onlinelibrary.wiley.com]

  • Orbital Cellulitis

    Tolosa-Hunt-Syndrom (Abbreviations & acronyms: THS) Comments: Manche Terminologien differenzieren zwischen dem Orbitaspitzensyndrom und dem Tolosa-Hunt-Syndrom.[zeitzfrankozeitz.de] Autoimmune diseases such as orbital pseudotumor (idiopathic orbital inflammatory disease), Tolosa-Hunt syndrome, and Exophthalmos secondary to Graves' disease may be ruled[ncbi.nlm.nih.gov] Common presenting signs include: a protruding eye (proptosis), eyelid edema (swelling), eye pain, vision loss, inability to move the eye completely (ophthalmoplegia), and[en.wikipedia.org]

  • 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] […] lesions Tolosa-Hunt syndrome: Isolated or combined, painful ophthalmoplegia Herpes zoster: Acute zoster ophthalmicus, typical skin lesion, and keratitis Sarcoidosis: Systemic[emedicine.com] syndrome, involving a retro-orbital granulomatous pseudotumor into the cavernous sinus, manifesting as retro-orbital pain, ophthalmoplegia, cranial nerve palsy, and clinical[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]

  • Tolosa-Hunt Syndrome

    The patient, a female aged 58 years, had diplopia and right retroorbital pain.[ncbi.nlm.nih.gov] 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] Discussion • Causes for retroorbital pain - orbital, superior orbital fissure, cavernous sinus, or intracranial infiltrative, neoplastic, or inflammatory disease processes[slideshare.net]

  • Ophthalmoplegic Migraine

    Steady retroorbital pain, oculomotor paralysis, and variable involvement of visual function are suggestive symptoms, which may persist for days to weeks.[ahcmedia.com] The clinical features of ophthalmoplegic migraine and Tolosa-Hunt syndrome overlapped in this patient.[scinapse.io] In April 1977 a right-sided attack of retroorbital/temporal pain occurred for 3 days followed by n.Vl palsy lasting weeks.[kundoc.com]

  • Cavernous Sinus Aneurysm

    pain. 39 – 43 Patients are most commonly middle-aged women (7:1 female-to-male ratio).[ingentaconnect.com] […] lesions Tolosa-Hunt syndrome: Isolated or combined, painful ophthalmoplegia Herpes zoster: Acute zoster ophthalmicus, typical skin lesion, and keratitis Sarcoidosis: Systemic[emedicine.medscape.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]

  • 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.[oadoi.org]

  • Internal Carotid Artery Aneurysm

    Pain can occur at retroorbital region rarely or can manifest itself as as a throbbing headache ( 3 ).[ispub.com] This could be in the form of diplopia, ptosis, ophthalmoplegia, or pain or paresthesia along the fifth nerve distribution.[ruralneuropractice.com] These patients may have complaints such as dysphagia, headache and neck pain, feeling of retroorbital pressure, otalgia and cerbrovascular symptoms.[ispub.com]

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