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Marcus M. Marcet, MD; William Yang, MD; Daniel M. Albert, MD; M. Shahriar Salamat, MD, PhD; Richard E. Appen, MD

Arch Ophthalmol. 2007;125(4):563-566.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Painful ophthalmoplegia can be caused by numerous pathologic conditions such as aneurysm; neoplasms such as chondrosarcoma, lymphoma, and nasopharyngeal carcinoma; diabetes mellitus; infection; and inflammatory disorders such as sarcoidosis and Tolosa-Hunt syndrome (THS).¹ Described by Tolosa² in 1954 and Hunt et al³ in 1961, THS is an idiopathic, self-limited inflammatory disorder characterized by painful ophthalmoplegia that has a rapid response to systemic corticosteroid therapy.^2-3 We describe a patient who initially appeared to have THS but at autopsy was found to have an Aspergillus infection that involved the carotid artery and caused her death.

Report of a Case

A 70-year-old previously healthy woman with no history of diabetes or immunosuppression developed pain around the right eye and then impaired vision for approximately 2 months. She denied symptoms of diplopia, scalp tenderness, weight loss, or jaw . . . [Full Text of this Article]

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