Idiopathic Tolosa-Hunt syndrome: four additional cases.

Abstract

Idiopathic Tolosa-Hunt syndrome (ITHS) is a very rare cause of painful ophthalmoplegia characterized by unilateral orbital pain, ipsilateral oculomotor paralysis and prompt response to steroids. In this paper we report 4 additional cases of ITHS. This rare cause of painful ophthalmoplegia effects the cranial nerves due to a granulomatous lesion of unknown etiology in the cavernous sinus or superior orbital fissure. The International Headache Society redefined the diagnostic criteria for ITHS but it is still mostly a diagnosis of exclusion. Careful evaluation and follow-up is essential for diagnosis. Optimal therapy duration and dosage and prophylactic treatment in recurrent cases needs further research.

• Authors: D Kirbas, B Topcular, M E Ozcan, Sakalli N Karagoz, G Gul, Aslan I Kalyoncu
• Journal: Ideggyogyaszati szemle (Ideggyogy Sz) Vol. 61 Issue 7-8 Pg. 250-4 (Jul 30 2008) ISSN: 0019-1442 [Print] Hungary
• PMID: 18763481 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Aged
• Diagnosis, Differential
• Female
• Humans
• Magnetic Resonance Imaging
• Male
• Middle Aged
• Ophthalmoplegia (etiology)
• Pain (etiology)
• Tolosa-Hunt Syndrome (complications, diagnosis, pathology)