The syndrome is a neuro-ophthalmic disorders kind of autoimmune or inflammatory process of strictures passing via the c sinus and superior orbital fissure. It is characterized by  Periorbital pain  Hemicrania  Diplopia  On exam patient has, Proptosis  Ophthalmoplegia  Involvement of 2nd 3rd 4th and 6th nerve.

Sarcoidosis   Mri of the brain should be done  Systemic steroids are both diagnosis and therapeutic