Symptoms of ophthalmoplegia, diagnosis of ophthalmoplegia

Ophthalmoplegia is a disease that many people are concerned about in daily life. Generally speaking, after people discover that they have ophthalmoplegia, they need to learn more about the symptoms of the disease.

Symptoms of ophthalmoplegia:

1. Most cases first present with pain in the back of the eyeball after a local cold. After a few days or weeks, paralysis of the eye muscles on the same side may occur, accompanied by diplopia, and then gradually improve. The above symptoms may recur, with intervals of several months or years.

2. One or both of the III, IV, and VI cranial nerves may be affected. About 20% of patients have pupil involvement and fundus examination generally shows no positive findings, while a few patients have fundus edema.

3. When there is a lesion in the cavernous sinus, the trigeminal nerve branches may be affected, but this is rare. When the lesion involves the orbit, it can cause orbital pseudotumor-like manifestations, and the nerve may also be affected. Facial nerve involvement is extremely rare and is mostly caused by inflammation of the cavernous sinus.

4. Intracranial angiography may sometimes reveal irregular stenosis of the carotid artery and sometimes intraorbital block images.

Diagnosis of ophthalmoplegia:

1. Typical painful ophthalmoplegia.

2.Corticosteroid treatment is very effective.

3. There are no systemic symptoms and no lesions other than those affecting the cavernous sinus structure.

Toloas-Hunt syndrome is relatively rare in clinical practice and is easily confused with ophthalmoplegic migraine, making clinical diagnosis somewhat difficult. However, most patients with Toloas-Hunt syndrome have a history of local cold on the affected side before the onset of the disease. The pain is mainly located in the back of the eye socket, and the pain is non-fluctuating dull pain with a long duration. The duration of symptom remission is also longer. In addition to affecting the oculomotor nerves, the lesions may also affect the trigeminal nerve.