Teaching Points:
Definition: Episodic orbital pain associated with paralysis of one or more of the CN III, IV, VI due to granulomatous inflammation of the cavernous sinus
Presents with episodic painful ophthalmoplegia, CNIII, IV, VI Palsy leading to diplopia, usually unilateral, headache often precedes paresis
Etiology – inflammation unknown etiology
Treatment – glucocorticoids