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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Painful ophthalmoplegia syndrome, beyond Tolosa-Hunt syndrome. A case series
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Vol. 96. Issue 12.
Pages 677-681 (December 2021)
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Vol. 96. Issue 12.
Pages 677-681 (December 2021)
Short communication
Painful ophthalmoplegia syndrome, beyond Tolosa-Hunt syndrome. A case series
Síndrome de oftalmoplejía dolorosa, más allá del síndrome de Tolosa Hunt. Una serie de casos
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R.D. Arenas Díaza,b,
Corresponding author
rarenas@unal.edu.co

Corresponding author.
, A. de P. Calderón Castroa,b
a Servicio de Neurología Clínica, Universidad Nacional de Colombia, Bogotá, Colombia
b Grupo de investigación en Neurología de la Universidad Nacional de Colombia, NEUOUNAL, Bogotá, Colombia
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Table 1. Relevant paraclinical findings of clinical cases.
Table 2. Differential diagnosis of painful ophthalmoplegia.
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Abstract

Painful ophthalmoplegia syndrome is characterised by the presence of peri-orbital or peri-cranial pain that is accompanied by paralysis of the oculomotor nerves. The differential diagnosis is broad, and requires a rigorous study. Three clinical cases of patients with painful ophthalmoplegia syndrome are described, in which multiple extension studies were required to obtain an aetiological diagnosis. Painful ophthalmoplegia syndrome is a complex disorder that has multiple causes, including infections, inflammatory, and tumour processes. Biopsy should be considered in those cases in which non-invasive studies are inconclusive.

Keywords:
Headache
Diplopia
Oculomotor nerves
Painful ophthalmoplegia
Tolosa-Hunt syndrome
Resumen

El síndrome de oftalmoplejía dolorosa se caracteriza por la presencia de dolor peri-orbital o peri-craneal que se acompaña de parálisis de los nervios oculomotores. El diagnóstico diferencial es amplio y requiere un estudio riguroso. Se describen tres casos clínicos de pacientes con síndrome de oftalmoplejía dolorosa en los que se requirieron múltiples estudios de extensión para obtener un diagnóstico etiológico.

El síndrome de oftalmoplejía dolorosa es un trastorno complejo que tiene múltiples causas incluyendo infecciones, procesos inflamatorios y tumorales. Debe considerarse la biopsia en aquellos en los que los estudios no invasivos no son conclusivos.

Palabras clave:
Cefalea
Diplopía
Nervios oculomotores
Oftalmoplejía dolorosa
Síndrome de Tolosa Hunt

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