Tolosa-Hunt syndrome—a rare cause of headache and ophthalmoplegia

Abstract

A 54-year-old African American woman came to our hospital with a 1-week history of severe right-sided retro-orbital pain and blurry vision. 2 days after onset of unilateral throbbing eye pain she developed intermittent blurry vision, which was worse with rightward gaze. She had no facial droop or language impairment, and no previous episodes of headache or visual changes. She had no history of orbital trauma. Her only previous medical diagnoses were schizophrenia and depression. She was taking aripiprazole and escitalopram daily.