Tolosa-hunt Syndrome
Tolosa-hunt syndrome. Tolosa-Hunt Syndrome is a rare pathological condition in which the affected individual experiences severe periorbital headaches along with ophthalmoplegia usually in one eye. Etiology is often idiopathic but it may be triggered by trauma aneurysms or tumors in the area. Tolosa-Hunt syndrome can affect people of virtually any age from the 1st to the 8th decades of life with no sex predilection.
Involvement of the facial nerve is unexpected. Synonyms for Tolosa Hunt syndrome include painful ophthalmoplegia recurrent ophthalmoplegia ophthalmoplegia syndrome. Either side may be affected with case reports of bilateral simultaneous involvement.
And signs of cranial nerve paralysis such as drooping of the upper eyelid ptosis double vision diplopia large pupil. Tolosa Hunt syndrome THS is a rare condition characterized by painful ophthalmoplegia paralysis andor weakness of the eye muscles. It is characterized by painful ophthalmoplegia weakness of the eye muscles and is caused by an idiopathic granulomatous inflammation of the cavernous sinus.
Synonyms for Tolosa Hunt syndromeinclude painful ophthalmoplegia recurrent ophthalmoplegia ophthalmoplegia syndrome. Tolosa-Hunt syndrome is a severe unilateral periorbital headache and ophthalmoplegia resulting from a non-caseating granulomatous inflammation of the cavernous sinus andor superior orbital fissure. Sarcoid workup was negative.
Onset can occur at any age. 1 Signs and symptoms include a constant pain behind the eye. MRI and clinical features are suggestive of Tolosa-Hunt syndrome.
TolosaHunt syndrome of painful ophthalmoplegia is caused by idiopathic granulomatous inflammation with epithelioid cells and occasional giant cells anywhere from the orbit to the superior orbital fissure and cavernous sinus. The Tolosa-Hunt syndrome is a rare syndrome with an estimated annual incidence of one case per million per year 1. 38 Rarely inflammation also spreads intracranially.
Uniformly patients complain of pain which is a defining symptom. Tolosa Hunt syndrome THS is described as severe and unilateral periorbital headache associated with painful and restricted eye movements.
The pain lasts an average of 8 weeks if untreated.
Tolosa Hunt syndrome THS is a rare condition characterized by painful ophthalmoplegia paralysis andor weakness of the eye muscles. TolosaHunt syndrome of painful ophthalmoplegia is caused by idiopathic granulomatous inflammation with epithelioid cells and occasional giant cells anywhere from the orbit to the superior orbital fissure and cavernous sinus. Synonyms for Tolosa Hunt syndromeinclude painful ophthalmoplegia recurrent ophthalmoplegia ophthalmoplegia syndrome. Tolosa-Hunt syndrome is a severe unilateral periorbital headache and ophthalmoplegia resulting from a non-caseating granulomatous inflammation of the cavernous sinus andor superior orbital fissure. Tolosa-Hunt syndrome TH is a variant of the disease with involvement of the orbital apex and extension into the cavernous sinus. This case report presents a patient diagnosed with Tolosa-Hunt syndrome THS after an extensive neuro-diagnostic and neuroimaging evaluation. The Tolosa-Hunt syndrome L B Kline W F Hoyt Defining the syndrome The syndrome of painful ophthalmoplegia consists of periorbital or hemicranial pain combined with ipsilateral ocular motor nerve palsies oculosympathetic paralysis and sen-sory loss in the distribution of the ophthalmic and occasionally the maxillary division of the trigeminal nerve. Tolosa-Hunt syndrome THS is a painful ophthalmoplegia caused by nonspecific inflammation of the cavernous sinus or superior orbital fissure. The Tolosa-Hunt syndrome is a rare syndrome with an estimated annual incidence of one case per million per year 1.
The Tolosa-Hunt syndrome is a rare syndrome with an estimated annual incidence of one case per million per year 1. Either side may be affected with case reports of bilateral simultaneous involvement. Onset can occur at any age. And signs of cranial nerve paralysis such as drooping of the upper eyelid ptosis double vision diplopia large pupil. Tolosa-Hunt syndrome is a severe unilateral periorbital headache and ophthalmoplegia resulting from a non-caseating granulomatous inflammation of the cavernous sinus andor superior orbital fissure. Cavernous sinus inflammation is the defining characteristic of TH as some cases demonstrate it is not necessary to have adjacent orbital involvement. Tolosa-Hunt syndrome is described as severe and unilateral periorbital headache associated with painful and restricted eye movements 1 caused by nonspecific inflammation of the cavernous sinus or superior orbital fissure 2.
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