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A 62-year-old man reported acute left retro-orbital pain of one week's duration. Physical examination revealed no abnormalities. Three days later, double vision developed, and the next day a rash appeared on the forehead. On repeated examination, it was noted that the patient had swelling of the left upper eyelid, conjunctival congestion, restricted abduction of the left eye, which is diagnostic of a left sixth cranial nerve palsy (right, center, and left gaze; Panels A, B, and C, respectively), and binocular horizontal diplopia. The rash was distributed over the left frontal area. The rest of the eye examination, including extraocular movements, . . . [Full Text of this Article] |
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