Table 3

Additional causes of painful ophthalmoplegia

 Orbital disease:
 Idiopathic orbital inflammation (pseudotumour)
 Contiguous sinusitis
 Mucormycosis or other fungal infection
 Metastatic tumour
 Lymphoma/leukaemia
Diabetic ophthalmoplegia:
 Mononeuropathy
 Multiple cranial nerve palsies
Posterior fossa aneurysm:
 Posterior communicating artery
 Basilar artery
Giant cell arteritis:
Ophthalmoplegic migraine: