Tolosa Hunt Syndrome is rather a rare neuro-ophthalmic disorder. It is characterised by Periorbital pain Hemicrania Diplopia On examination patient has Proptosis Ophthalmoplegia 3rd 4h 5th nerve palsy RAPD Impairment of sensory division of 1st or 2nd branch of 5th nerve Very disbinding disease (DD) is from sarcoidosis. MRI is needed.

It is beleived to be some sort of vasculitis which may be a risk factor in this disorder systemic steroids are both diagnostic and therapeutic. Share your opinion.