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Clinical Problem Solving: Radiology
September 2005

Radiology Quiz Case 4

Author Affiliations
 

R. NICKBRYANMDPATRICIA A.HUDGINSMD

Arch Otolaryngol Head Neck Surg. 2005;131(9):824. doi:10.1001/archotol.131.9.824

A 68-year-old woman with no history of nasal disease presented with a 3-week history of a fluctuating right-sided frontotemporal headache, nausea, vomiting, photophobia, and drooping of the right eye and a 1-week history of right-sided diplopia. Physical examination revealed an oculomotor and abducens nerve palsy, a dilated pupil, diplopia, proptosis, ptosis, and decreased visual acuity in the right eye. The findings of the rest of the neurologic and general physical examinations were unremarkable.

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