Tolosa-Hunt Syndrome
Keywords:
Tolosa-Hunt syndrome, oculomotor nerve, trigeminal nerve, cavernous sinus, magnetic resonance imaging.Abstract
Introduction: Tolosa-Hunt syndrome is the nosological entity of unknown cause and diagnosis by exclusion characterized by painful ophthalmoplegia and/or sensory disorders of the territory corresponding to the ophthalmic branch of the trigeminal nerve on the same side.
Case report: The case of a 72-year-old female patient with history of high blood pressure and type 2 diabetes mellitus was reported, who 7 days before, had continuous, pulsating left hemicranial headache, radiating to the left orbit, with no relief with analgesics, associated with left eyelid ptosis and diplopia when lateralizing gaze to the right. Imaging studies showed inflammatory occupation in the left superior orbital fissure and Tolosa-Hunt syndrome was diagnosed. She received steroid treatment with satisfactory evolution and total remission.
Conclusions: Tolosa-Hunt syndrome presents as its fundamental clinical condition hemicranial or periorbital headache associated with ophthalmoplegia, with demonstration of granulomatous inflammation in the cavernous sinus, superior orbital fissure, orbital apex or orbit. Systemic corticosteroids are of choice for diagnosis and satisfactory evolution.Downloads
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