A case report of Tolosa Hunt syndrome
Journal Title: Journal of the Indian Medical Association - Year 2019, Vol 117, Issue 6
Abstract
Tolosa Hunt syndrome is a rare clinical entitycharacterized by sudden onset of painful ophthalmoplegia and prompt response to steroid therapy1. Generally it involves third, fourth and sixth cranial nerves due to the presence of non specific granulomatous inflammatory process in the region of cavernous sinus and /or superior orbital fissure2,3. Here we present a case report on a 17 year old female who presented with Unilateral headache, drooping of left eyelid and diplopia. MRI brain of the patient showed Left cavernous sinus enlargement and T1 & T2 isointense lesion causing narrowing of Left ICA extending anteriorly to the orbital apex. The diagnosis of Tolosa Hunt syndrome was made after ruling out other differentials on the basis of history, examination and investigations.
Authors and Affiliations
M Senthilvelan, Jayaram Kosalram, D Kanagaraj
Keywords
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