IDIOPATHIC TOLOSA-HUNT SYNDROME: FOUR ADDITIONAL CASES


Kirbas D. , Topcular B. , Ozcan M. E. , Sakalli K. N. , Gul G. , Aslan K.

IDEGGYOGYASZATI SZEMLE-CLINICAL NEUROSCIENCE, cilt.61, ss.250-254, 2008 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 61
  • Basım Tarihi: 2008
  • Dergi Adı: IDEGGYOGYASZATI SZEMLE-CLINICAL NEUROSCIENCE
  • Sayfa Sayıları: ss.250-254

Özet

Idiopathic Tolosa Hunt syndrome (ITHS) is a very rare cause of painful ophthalmoplegia characterized by unilateral orbital pain, ipsilateral oculomotor paralysis and prompt response to steroids. In this paper we report 4 additional cases of ITHS. This rare cause of painful ophthalmoplegia effects the cranial nerves due to a granulomatous lesion of unknown etiology in the cavernous sinus or superior orbital fissure. The International Headache Society redefined the diagnostic criteria for ITHS but it is still mostly a diagnosis of exclusion. Careful evaluation and follow-up is essential for diagnosis. Optimal therapy duration and dosage and prophylactic treatment in recurrent cases needs further research.

Idiopathic Tolosa Hunt syndrome (ITHS) is a very rare cause of painful ophthalmoplegia characterized by unilateral orbital pain, ipsilateral oculomotor paralysis and prompt response to steroids. In this paper we report 4 additional cases of ITHS. This rare cause of painful ophthalmoplegia effects the cranial nerves due to a granulomatous lesion of unknown etiology in the cavernous sinus or superior orbital fissure. The International Headache Society redefined the diagnostic criteria for ITHS but it is still mostly a diagnosis of exclusion. Careful evaluation and follow-up is essential for diagnosis. Optimal therapy duration and dosage and prophylactic treatment in recurrent cases needs further research.