Tolosa-Hunt Syndrome

JC is a 71-year-old woman who presented with the complaints of pain and reduced vision in her left eye for several days. Examination found visual acuity of 20/70 OD with a 3+ afferent pupil defect and acuity of 20/25 OS. Two millimeters of proptosis of the right eye was measured. She was also noted to have almost total ophthalmoplegia and reduced sensitivity of the periorbital skin. The remainder of the examination was normal except for mild nuclear sclerotic cataracts in both eyes.


Visual Acuity Optic Nerve Nerve Palsy Visual Loss Normal Thickness 
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© Springer Science+Business Media, LLC 2008

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