Really painful double vision.
A 67-year-old woman with a history of chronic headache and recent removal of two squamous cell lesions from her forehead presented with left facial pain and diplopia. A diagnosis of Tolosa-Hunt syndrome was made based on clinical presentation and imaging studies. When the patient did not respond to steroids, further studies were done, including biopsy, which revealed perineural spread of squamous cell carcinoma.
Sedwick
L A
LA
Department of Neuro-Ophthalmology, Florida Hospital, Orlando, FL, USA.
Kaufman
D I
DI
Fratkin
J
J
D000368:Aged; D001706:Biopsy; D002294:Carcinoma, Squamous Cell / Q000556:secondary*; D002533:Cerebral Angiography; D003937:Diagnosis, Differential; D004172:Diplopia / Q000175:diagnosis* / Q000188:drug therapy; D005153:Facial Neoplasms / Q000473:pathology*; D005157:Facial Pain / Q000175:diagnosis* / Q000188:drug therapy; D017809:Fatal Outcome; D005260:Female; D005546:Forehead; D005938:Glucocorticoids / Q000627:therapeutic use; D006261:Headache / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D010524:Peripheral Nervous System Neoplasms / Q000556:secondary*; D011241:Prednisone / Q000627:therapeutic use; D020333:Tolosa-Hunt Syndrome / Q000175:diagnosis / Q000188:drug therapy; D014057:Tomography, X-Ray Computed
D005938:Glucocorticoids; D011241:Prednisone