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Year : 2014  |  Volume : 28  |  Issue : 1  |  Page : 47-50

Painful ophthalmoplegia

Department of Internal Medicine, Armed Forces Medical College, Pune, Maharashtra, India

Correspondence Address:
Vivek Guleria
Medical Specialist, MH Palampur, Himachal Pradesh - 176 061
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-5333.128899

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Painful ophthalmoplegia refers to a multiple cranial nerve syndrome involving oculomotor, trochlear, abducens, and ophthalmic division of the trigeminal nerve. Among various etiologies of painful ophthalmoplegias, Tolosa-Hunt syndrome, a relatively benign condition, used to be a diagnosis of exclusion. With advent of newer imaging techniques, it can now be considered as primary differential in painful ophthalmoplegias and patient can benefit with early introduction of steroids. We describe herein a patient with painful ophthalmoplegia in which early diagnosis was made, based on clinical and magnetic resonance imaging (MRI) findings.

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