Tolosa Hunt Syndrome

Tolosa Hunt Syndrome은 자연 치유가 될 수도 있으나Hunt등에 의하면 부신피질 호르몬이 치료에 효과가 있다고 보고하였으며Smith와 Taxdal은 prednisolon 6080 mgday를 사용하면 처음 48시간 이내에 극적인 반응을 볼 수 있으며 다량의 스테로이드 투여는.
Tolosa hunt syndrome. Tolosa-Hunt syndrome THS is a painful ophthalmoplegia caused by nonspecific inflammation of the cavernous sinus or superior orbital fissure. Tolosa-Hunt syndrome THS is an uncommon diagnosis with an incidence of nearly 1 to 2 cases per million hallmarked by the presence of painful ophthalmoplegia PO due to a granulomatous inflammation GI. Onset can occur at any age.
In most cases affected individuals experience intense sharp pain and decreased eye movements. In 2004 the International Headache Society provided. Neuro-ophthalmologic examination showing ophthalmoplegia in a patient with TolosaHunt syndrome prior to treatmentThe central image represents forward gaze and each image around it represents gaze in that direction for example in the upper left image the patient looks up and right.
Tolosa Hunt syndrome THS is described as severe and unilateral periorbital headache associated with painful and restricted eye movements. See the image below. Tolosa-Hunt Syndrome is also known as superior orbital fissure syndrome cavernous sinus syndrome cavernous sinus granulomatosis and Tolosa-Hunt ophthalmoplegia.
ICHD-II diagnostic criteria for Tolosa-Hunt syndrome in idiopathic inflammatory syndromes of the orbit andor the cavernous sinus. Symptoms usually affect only one eye unilateral. Tolosa Hunt syndrome is one of the rare.
Synonyms for Tolosa Hunt syndrome include painful ophthalmoplegia recurrent ophthalmoplegia ophthalmoplegia syndrome. Tolosa-Hunt syndrome THS is a painful ophthalmoplegia caused by nonspecific inflammation of the cavernous sinus or superior orbital fissure. Painful ophthalmoplegia due to idiopathic granulomatous inflammation of the cavernous sinussuperior orbital fissure has been termed Tolosa-Hunt syndrome THS.
Tolosa-Hunt syndrome can affect people of virtually any age from the 1st to the 8th decades of life with no sex predilection. This case report presents a patient diagnosed with Tolosa-Hunt syndrome THS after an extensive neuro-diagnostic and neuroimaging evaluation. And signs of cranial nerve paralysis such as drooping of the upper eyelid ptosis double vision diplopia large pupil and facial numbness.