Sunday, July 16, 2006

Causes of painful opthalmoplegia

* Aneurysmal third nerve palsy
* vasculopathic cranial palsy
* cavernous sinus disease (thrombosis, aneurysm, inflammatory(Tolosa Hunt, sarcoid, Wegener's))
* Carotid dissection
* pituitary apoloplexy
* Giant cell arteritis
* Nasopharygeal carcinoma
*Basilar meningits (infectious or neoplastic)

Suggested evaluation:

*Blood tests: CBC, ESR, metabolic profile, angiotensin converting enzyme, lysozyme, VDRL, FTA-ABS, antineurtrophilic cytoplasmic antibodies (ANCA)

*Chest X ray
*MRI with contrast and thin coronal cuts
* lumbar puncture
*Nasopahryngeal examination with "blind" biopsy

1 comment:

Richard Petty said...

Terrific site!

A great use of medical blogging, IMHO.

May I add to your list of painful ophthalmoplegias?
Gradenigo's syndrome
Grave's disease (I've seen two painful ones)
Diabetes (The books say that it shouldn't hurt, but it certainly can(
Trichinosis

Kindest regards,

RP