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(

Kindest regards,