Tolosa-Hunt Syndrome: a rare case report
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
The syndrome of painful ophthalmoplegia consists of periorbital or hemicranial paincombined with ipsilateral ocular motor nerve palsies, oculosympathetic paralysis, and sensory loss in the distribution of the ophthalmic and occasionally the maxillary division of the trigeminal nerve. Various combinations of these cranial nerve palsies may occur, localizing the pathological process to the region of the cavernous sinus/superior orbital fissure.We are presenting a case report on THS. The patient presented with complete ptosis, unilateral headache and diminished vision. On examination there was complete ophthalmoplegia and diminished sensation over the area supplied by 1st and 2nd division of trigeminal nerve. CEMRI brain revealed enhancing soft tissue thickening along right cavernous sinus extending right orbital apex without any e/o filling defect in cavernous sinus or dilated SOV suggestive of THS. Other differential diagnosis were excluded on the basis of careful history, examination and investigations.
Authors and Affiliations
Dr. (Mrs) M. Borooah, Dr. Jayant Ekka, Dr. Deepanjan Ghosh
Keywords
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- EP ID EP369792
- DOI 10.9790/0853-1703134043.
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