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Really painful double vision
L A Sedwick1, D I Kaufman, J Fratkin
1Department of Neuro-Ophthalmology, Florida Hospital, Orlando, FL, USA.
Survey of Ophthalmology
|October 18, 2000
Abstract:
A 67-year-old woman with a history of chronic headache and recent removal of two squamous cell lesions from her forehead presented with left facial pain and diplopia. A diagnosis of Tolosa-Hunt syndrome was made based on clinical presentation and imaging studies. When the patient did not respond to steroids, further studies were done, including biopsy, which revealed perineural spread of squamous cell carcinoma.