Painful ophthalmoplegia consists of periorbital or hemicranial pain with ipsilateral ocular motor nerve palsies. There are many etiologies of painful ophthalmoplegia. Tolosa-Hunt syndrome (THS) is an uncommon disease caused by non-specific inflammation of the cavernous sinus, superior orbital fissure and the apex of the orbit. A 45-year-old female reported episodes of reversible left eye pain a...

A 45-year old woman presented with painful left ophthalmoplegia that had been present for one week. There was complete immobilization of the left globe with 3mm proptosis, but normal visual field and acuity. An urgent magnetic resonance scan showed a 4 cm lesion straddling the greater ala of the sphenoid from the cranial fossa to the orbit, abutting on the superior rectus (Figure 1A and B). Com...

BACKGROUND We report a case of steroid-resistant Tolosa-Hunt syndrome (THS) with recurrent bilateral painful ophthalmoplegia, accompanied with sphenoid sinusitis, pituitary abscess, and an aneurysm arising from the cavernous portion of the internal carotid artery. CASE DESCRIPTION A 53-year-old woman suffered severe left painful ophthalmoplegia. A magnetic resonance image (MRI) revealed thick...