Recurrent alternating Tolosa-Hunt syndrome mimicking idiopathic hypertrophic pachymeningitis
| Autor: | Upasana Pokal, SN Deepikadevi, Mahalakshmiy Balsamy, Muthukrishnan Vallinayagam |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
genetic structures medicine.diagnostic_test business.industry Magnetic resonance imaging medicine.disease eye diseases Granulomatous inflammation Lesion medicine.anatomical_structure Ptosis Superior orbital fissure Cavernous sinus medicine Vomiting sense organs Radiology medicine.symptom business Tolosa–Hunt syndrome |
| Zdroj: | Indian Journal of Ophthalmology - Case Reports. 1:785 |
| ISSN: | 2772-3070 |
| Popis: | Tolosa–Hunt syndrome (THS) is a granulomatous inflammation in cavernous sinus or orbital apex. Recurrences are encountered ipsilaterally. Contralateral involvement is known as alternating THS. A middle-aged man presented with right sided headache and vomiting. Magnetic resonance imaging (MRI) revealed hyperintense lesion in right orbital apex with inflammatory changes in superior orbital fissure. A diagnosis of idiopathic hypertrophic pachymeningitis (IHP) was entertained. Within 48 h, there was complete ptosis and markedly restricted ocular movements. MRI done 3 months prior revealed similar features in left eye. A rare case of recurrent alternating THS with radiological evidence is portrayed here. |
| Databáze: | OpenAIRE |
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