PAINFUL OPHTHALMOPLEGIA OF THE RIGHT EYE IN A 20-YEAR-OLD MAN

被引：3

作者：

Beckham, Stephen ^{[1
]}

Kim, Hyung ^{[1
]}

Anh Truong ^{[1
]}

机构：

[1] Los Angeles Cty Univ So Calif LAC USC Med Ctr, Dept Emergency Med, Los Angeles, CA 90033 USA

来源：

JOURNAL OF EMERGENCY MEDICINE | 2013年 / 44卷 / 02期

关键词：

painful ophthalmoplegia; Tolosa-Hunt syndrome; cavernous sinus; magnetic resonance imaging; TOLOSA-HUNT-SYNDROME; DIAGNOSIS; CRITERIA;

D O I：

10.1016/j.jemermed.2012.07.049

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background: Painful ophthalmoplegia is an infrequent but very important presentation in the acute care setting and requires a thorough neurologic evaluation to determine its cause. This clinical sign has a large differential and generally indicates a serious cerebrovascular process. Case Report: We describe a patient with a subacute presentation of painful ophthalmoplegia, ultimately diagnosed as Tolosa-Hunt syndrome, a rare inflammatory process of the cavernous sinus. Conclusion: This case highlights the importance for the Emergency Physician to quickly recognize painful ophthalmoplegia and rapidly elucidate the cause to prevent further complications for the patient. (c) 2013 Elsevier Inc.

引用

页码：E231 / E234

页数：4

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