Man presents with headache, ptosis and abnormal eye movements

A 49-year-old Brazilian man with no known medical history was admitted to the hospital for headache, ptosis of the right upper eyelid and abnormal eye movements. He had been discharged from the hospital recently with a working diagnosis of migraine, only to be admitted again with worsening symptoms. The admitting team ordered an MRI of the brain that showed a possible cavernous sinus thrombosis. At this point, Ophthalmology was urgently consulted. On review of systems, the patient complained of a bifrontal headache but denied any ocular pain or changes in (Read more...)

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