Tolosa-hunt syndrome (painful ophthalmoplegia) 1

General: Symptoms last from days to w 747d34h eeks; attacks recur at intervals of months or years; inflammatory lesion of cavernous sinus; onset most frequent in fifth decade of life; recurrent Tolosa-Hunt syndrome has been observed in some patients.

Ocular: Steadily 'growing' retroorbital pain; ptosis; involvement of cranial nerves III, IV, VI, and first division of V; scintillating scotomata; sluggish pupil reaction to light; corneal sensitivity diminished; optic neuritis.

Clinical: Inflammatory lesions of cavernous sinus.

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