Dr.JAYANT EKKA, E20211
The syndrome of painful ophthalmoplegia consists of periorbital or hemicranial paincombined with
ipsilateral ocular motor nerve palsies, oculosympathetic paralysis, and sensory loss in the distribution of the
ophthalmic and occasionally the maxillary division of the trigeminal nerve. Various combinations of these
cranial nerve palsies may occur, localizing the pathological process to the region of the cavernous
sinus/superior orbital fissure. We are presenting a case report on THS. The patient presented with complete
ptosis, unilateral headache and diminished vision. On examination there was complete ophthalmoplegia and
diminished sensation over the area supplied by 1st and 2nd division of trigeminal nerve. CEMRI brain revealed
enhancing soft tissue thickening along right cavernous sinus extending right orbital apex without any e/o filling
defect in cavernous sinus or dilated SOV suggestive of THS.
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