Tolosa-Hunt syndrome: an arcane pathology of cavernous venous sinus
| Autor: | Ali Rahil, Adeel Arshad, Shahzaib Nabi, Muhammad Siyab Panhwar |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty genetic structures Article Diagnosis Differential Ptosis Facial Pain Tolosa-Hunt Syndrome medicine Paralysis Blepharoptosis Humans Sinus (anatomy) Inflammation Ophthalmoplegia business.industry Cranial nerves Cranial Nerves General Medicine medicine.disease Magnetic Resonance Imaging Surgery medicine.anatomical_structure Superior orbital fissure Cavernous sinus Cavernous Sinus Steroids medicine.symptom business Orbit Orbit (anatomy) Tolosa–Hunt syndrome |
| Zdroj: | BMJ case reports. 2015 |
| ISSN: | 1757-790X |
| Popis: | Tolosa-Hunt syndrome, an idiopathic granulomatous inflammation of the cavernous sinus, is primarily a diagnosis of exclusion. The majority of patients present with unilateral orbital pain and features suggestive of paralysis of one or more of the cranial nerves passing through the cavernous sinus and/or superior orbital fissure. MRI of the head may show unilateral enhancement of the cavernous sinus and orbital apex. Treatment is with high-dose intravenous steroids followed by tapering oral steroids. Rapid amelioration of pain within 24–48 h supports this rare diagnosis. Resolution of neuropathies may take longer. We describe a case of a young man who presented with left periorbital pain, complete ophthalmoplaegia and ptosis of the left eye. MRI showed enhancement of the left cavernous sinus and orbital apex. High dose steroids led to complete resolution of pain, while ptosis and ophthalmoplaegia improved gradually. |
| Databáze: | OpenAIRE |
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