An Observational Study of Use of Azathioprine As Immonosuppresant For The Treatment Of Central Serous Retinopathy Associated With Tolosa Hunt Syndrome
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
Tolosa Hunt syndrome is a rare disorder characterized by painful ophthalmoplegia by nonspecific inflammation of cavernous sinus or superior orbital fissure. In this disorder there is unilateral retroorbital pain and palsy of cranial nerve three, four, six and ophthalmic and maxillary subdivisions of trigeminal nerve. The disorder is often recurrent but usually responding well with glucocorticoid administration. The condition if present with central serous retinopathy is far rarer. Treatment of Tolosa Hunt syndrome with high dose steroid can precipitate central serous retinopathy but coexistence of the two condition is very much rare and if present together, there is therapeutic challenge where to use oral steroid or not. As steroid is contraindicated in this patient with good response. This result signifies azathioprine can be used as alternative therapy in conditions of Tolosa Hunt syndrome where steroid is contraindicated.
Authors and Affiliations
Raja Bhattacharya, Manab Nandy, Koushik Mukherjee, Purba Chakrabarty, Nirmal Polle
Keywords
Related Articles
- EP ID EP576084
- DOI 10.9790/0853-1701046669.
- Views 62
- Downloads 0
La Maladie De Behcet : A Propos De 343 Cas
Le but de notre travail est d’analyser les caractéristiques cliniques de la maladie de Behçet dans notre service de médecine interne. C’est une étude monocentrique rétrospective au sein du service de médecine interne à p...
Technique of Reduction of two weeks old Unreduced Subtalar Joint Dislocation.
Subtalar dislocation is also known as peritalar dislocation, it can be medial, lateral, anterior and posterior displacement. Medial dislocation is more common than a lateral dislocation. Usually, dislocation can be reduc...
Is Dry Eyes Alarming- An Update
Dry eye syndrome (DES) or keratoconjunctivitissicca (KCS) is a common disorder of the tear film caused by decreased tear production or increased evaporation and manifests with a wide variety of signs and symptoms. The pr...
Intramuscular Myxoma: A Rare Mesenchymal Tumor of Thigh
Introduction: Intramuscular myxoma is a rare benign soft tissue tumor of the musculoskeletal System. The reported incidence is varying from 0.1 to 0.13 per 100,000 population. Most patients present between the fifth to s...
Underlay technique of Myringoplasty – Easier and Faster method of placing lateral to handle of malleus – How effective and successful ?
The study is to compare the hearing improvement in patients after myringoplasty/ type 1 Tympanoplasty, between two groups i.e., (Group A) graft placed medial to handle of malleus, and (Group B) graft placed lateral to th...