An approach to the patient with painful ophthalmoplegia, with a focus on Tolosa-Hunt syndrome

被引：32
作者：
Gladstone J.P. [1 ]
机构：
[1] Gladstone Headache Clinic, Toronto, ON M2J 1V1
来源：
Current Pain and Headache Reports | 2007年 / 11卷 / 4期
关键词：
Meningioma; Sarcoidosis; Cavernous Sinus; Giant Cell Arteritis; Oculomotor Nerve;
D O I：
10.1007/s11916-007-0211-7
中图分类号：
学科分类号：
摘要：
The differential diagnosis of painful ophthalmoplegia is extensive and consists of numerous sinister etiologies, including neoplasms (ie, primary intracranial tumors, local or distant metastases), vascular (eg, aneurysm, carotid dissection, and carotid-cavernous fistula), inflammatory (ie, orbital pseudotumor, giant cell arteritis, sarcoidosis, and Tolosa-Hunt syndrome), and infectious etiologies (ie, fungal and mycobacterial), as well as other miscellaneous conditions (ie, ophthalmoplegic migraine and microvascular infarcts secondary to diabetes). A systematic approach to the evaluation of painful ophthalmoplegia can lead to prompt recognition of serious disorders that can be associated with significant morbidity or mortality if left untreated. Inflammatory conditions such as Tolosa-Hunt syndrome and orbital pseudotumor are highly responsive to corticosteroids but should be diagnoses of exclusion. Copyright © 2007 by Current Medicine Group LLC.
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页码：317 / 325
页数：8
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