Pseudo-pseudotumor

The initial diagnostic impression in a patient with a "hot orbit" may evolv e as more laboratory and radiographic information becomes available. We pre sent a patient in whom nearly the entire differential diagnosis of painful orbitopathy was considered before the correct diagnosis was made, after the patient had improved and all paraclinical data, including magnetic resonan ce imaging, were available. (C) 2000 by Elsevier Science Inc. All rights re served.