Idiopathic Tolosa-Hunt syndrome: four additional cases

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 th...

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Bibliographic Details
Published inIdeggyógyászati szemle Vol. 61; no. 7-8; pp. 250 - 254
Main Authors Kirbas, D, Topcular, B, Ozcan, M E, Karagoz, Sakalli N, Gul, G, Kalyoncu, Aslan I
Format Journal Article
LanguageEnglish
Published Hungary 30.07.2008
Subjects
Adult
Aged
Diagnosis, Differential
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Ophthalmoplegia - etiology
Pain - etiology
Tolosa-Hunt Syndrome - complications
Tolosa-Hunt Syndrome - diagnosis
Tolosa-Hunt Syndrome - pathology
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Summary: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.
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ISSN:0019-1442