* 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
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