R. NICKBRYANMDPATRICIA A.HUDGINSMD
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.
O’Donoghue GT, Kumar R, Taleb FS, Marks C. Radiology Quiz Case 4. Arch Otolaryngol Head Neck Surg. 2005;131(9):824. doi:10.1001/archotol.131.9.824