• Registration
  • Login
JETem
  • Home
  • About
    • Aim and Scope
    • Our Team
    • Editorial Board
    • FAQ
  • Issues
    • Current Issue
    • Ahead of Print
    • Past Issues
  • Visual EM
    • Latest Visual EM
    • Search Visual EM
    • Thumbnail Library
  • For Authors
    • Instructions for Authors
    • Submit to JETem
    • Photo Consent
    • Policies
      • Peer Review Policy
      • Copyright Policy
      • Editorial Policy, Ethics and Responsibilities
      • Conflicts of Interest & Informed Consent
      • Open Access Policy
  • For Reviewers
    • Instructions for JETem Reviewers
    • Interested in Being a JETem Reviewer?
  • Topic
    • Abdominal / Gastroenterology
    • Administration
    • Board Review
    • Cardiology / Vascular
    • Clinical Informatics, Telehealth and Technology
    • Dermatology
    • EMS
    • Endocrine
    • ENT
    • Faculty Development
    • Genitourinary
    • Geriatrics
    • Hematology / Oncology
    • Infectious Disease
    • Miscellaneous
    • Neurology
    • Ob / Gyn
    • Ophthalmology
    • Orthopedics
    • Pediatrics
    • Procedures
    • Psychiatry
    • Renal / Electrolytes
    • Respiratory
    • Toxicology
    • Trauma
    • Ultrasound
    • Wellness
    • Wilderness
  • Modality
    • Curricula
    • Innovations
    • Lectures
    • Oral Boards
    • Podcasts
    • Simulation
    • Small Group Learning
    • Team Based Learning
    • Visual EM
  • Contact Us

Case Report of a Man with Right Eye Pain and Double Vision

Nicolas Kahl, MD* and Maria Pelucio, MD*

*University of California, San Diego, Department of Emergency Medicine, San Diego, CA

Correspondence should be addressed to Nicolas Kahl, MD at nmkahl@health.ucsd.edu

DOI: https://doi.org/10.21980/J8KW7G Issue 7:1
NeurologyOphthalmologyVisual EM
No ratings yet.

ABSTRACT:

A 39-year-old previously healthy male presented with three days of right eye pressure and one day of binocular diplopia.  He denied history of trauma, headache, or other neurological complaints.  He had normal visual acuity, normal intraocular pressure, intact convergence, and no afferent pupillary defect. His neurologic examination was non-focal except for an inability to adduct the right eye past midline on cranial nerve examination, with left-beating nystagmus noted in the left eye.  MRI brain was obtained, showing right cavernous sinus lateral wall contrast enhancement. No other evidence of neoplasm, ischemia, infection, or aneurysm was found. The patient’s deficits rapidly improved with corticosteroids. This is the hallmark of Tolosa-Hunt syndrome (THS), characterized as idiopathic inflammation of the cavernous sinus. The patient was discharged on a prednisone taper, with continued improvement at outpatient neurology follow-up. Tolosa-Hunt syndrome is one of the rare disorders recognized by the National Organization for Rare Disorders (NORD), and has an estimated incidence of one case per million per year.

Topics:

Tolosa-Hunt syndrome, cranial nerve deficits, diplopia, neurologic examination.

Icon

Tolosa Hunt - Manuscript

1 file(s) 1.81 MB
Download
Icon

Tolosa Hunt - Images

1 file(s) 2.32 MB
Download
Issue 7:1MRIPhotograph

Reviews:

No ratings yet.

Please rate this





An Unusual Case Report of a Toddler with...

04 Jan, 22

A Case Report of Epiglottitis in an Adult Patient

04 Jan, 22
JETem is an online, open access, peer-reviewed journal-repository for EM educators

Most Viewed

  • Telemedicine Consult for Shortness of Breath Due to Sympathetic Crashing Acute Pulmonary Edema
  • Anticholinergic Toxicity in the Emergency Department
  • The Suicidal Patient in the Emergency Department Team-Based Learning Activity
  • Child Maltreatment Education: Utilizing an Escape Room Activity to Engage Learners on a Sensitive Topic
  • Acute Chest Syndrome

Visit Our Collaborators

About

Education

Learners should benefit from active learning. JETem accepts submissions of team-based learning, small group learning, simulation, podcasts, lectures, innovations, curricula, question sets, and visualEM.

Scholarship

We believe educators should advance through the scholarship of their educational work. JETem gives educators the opportunity to publish scholarly academic work so that it may be widely distributed, thereby increasing the significance of their results.

Links

  • Home
  • Aim and Scope
  • Current Issue
  • For Reviewers
  • Instructions for Authors
  • Contact Us

Newsletter

Sign up to receive updates from JETem regarding newly published issues and findings.

Copyright © 2016 JETem. All rights reserved.