Síndrome de oftalmoplejía dolorosa, más allá del síndrome de Tolosa Hunt. Una serie de casos / Painful ophthalmoplegia syndrome, beyond Tolosa-Hunt syndrome. A case series

El síndrome de oftalmoplejía dolorosa se caracteriza por la presencia de dolor periorbital o pericraneal, que se acompaña de parálisis de los nervios oculomotores. El diagnóstico diferencial es amplio y requiere un estudio riguroso. Se describen 3casos 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, entre las que se incluyen infecciones, procesos inflamatorios y tumorales. Debe considerarse la biopsia en aquellos pacientes en los que los estudios no invasivos no son conclusivos (AU)

Painful ophthalmoplejía 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 ophthalmoplejía syndrome are described, in which multiple extension studies were required to obtain an aetiological diagnosis. Painful ophthalmoplejía 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 (AU)

Painful ophthalmoplegia syndrome, beyond Tolosa-Hunt syndrome. A case series.

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.

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.

Painful ophthalmoplejía 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 ophthalmoplejía syndrome are described, in which multiple extension studies were required to obtain an aetiological diagnosis. Painful ophthalmoplejía 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.