65-year-old male patient with left sided headache and orbital pain of 2-3 months duration

Despite advancement of neurotechnology and neuroimaging, detailed history and examination remain the most important tools for diagnosis of unilateral headache and orbital pain. Headache is a common symptom among all age groups with a considerable array of differential diagnoses. Tolosa Hunt syndrome is a rare cause of unilateral headache and orbital pain. High clinical suspicion basedon clinical presentation, thorough history and physical examination is crucial for diagnosis.