An 86 year old Asian female presented with a 12 month history of indolent right sided headache, and a sensation described as “difficulty moving my eyes”, but not diplopia. The headache was localized to the right frontal area, stopping at the midline. It was constant and described as burning in nature. She complained of no problem with jaw claudication, facial weakness, dysarthria, limb girdle weakness, diurnal variation or respiratory difficulty. She had a past medical history of hypertension and type 2 diabetes mellitus controlled with diet. There was no significant past ocular history.