Tolosa Hunt Syndrome, a painful ophthalmoplegia

[Painful ophthalmoplegia (pseudotumor of the orbit and Tolosa-Hunt syndrome)].

INTRODUCTION The Tolosa-Hunt Syndrome (THS) and the Pseudotumor of the Orbit (PTO) each have three common clinical hallmarks: unilateral periorbital pain, cranial nerve palsies and a fast response to corticosteroid therapy. CASE REPORT 48-year-old female with a right VI nerve paralysis, later develops a right III nerve paralysis. It is important to be able to differentiate between THS and PTO...

Tolosa-Hunt syndrome--diagnostic problem of painful ophthalmoplegia.

BACKGROUND Tolosa-Hunt syndrome (THS) is an uncommon disease caused by non-specific inflammation of the cavernous sinus, superior orbital fissure and the apex of the orbit. The disease is characterized by periorbital pain, paresis of the bulbomotor and quick response to steroid treatment. The orbital process may lead to optic nerve atrophy. According to the International Headache Society Classi...

Clinicopathological correlation in a case of painful ophthalmoplegia: Tolosa-Hunt syndrome.

A case of painful ophthalmoplegia due to idiopathic granulomatous involvement of the superior orbital fissure (Tolosa-Hunt syndrome) is described. The clinical features of recurrent pain, ocular motor nerve palsies and proptosis correlated well with the eventual demonstration of an enhancing mass in the region of the cavernous sinus. Removal of the lesion led to a resolution of the clinical pic...

The Tolosa-Hunt syndrome.

Painful ophthalmoplegia due to idiopathic granulomatous inflammation of the cavernous sinus/superior orbital fissure has been termed Tolosa-Hunt syndrome (THS). This report is based upon 146 patients with this syndrome published in the English literature. The clinical profile, natural history, diagnostic evaluation, pathologic findings, differential diagnosis, and therapy of THS are presented. ...

[Tolosa-Hunt syndrome].