scholarly journals Tolosa-Hunt Syndrome: A Non-Classical Presentation of a Rare Cause of Unilateral Headache and Painful Ophthalmoplegia

2020 ◽  
Vol 12 (4) ◽  
pp. 266-268
Author(s):  
Steven Douedi ◽  
Mark Awad ◽  
Daniel Shenouda ◽  
Prinze Mack ◽  
Michael P. Carson
Keyword(s):  
Painful Ophthalmoplegia ◽  
Hunt Syndrome ◽  
Unilateral Headache

scholarly journals Painful Ophthalmoplegia of Right Eye in 40-Year-Old Female - Diagnosed As A Case of Tolosa-Hunt Syndrome

2016 ◽  
Vol 24 (2) ◽  
pp. 160-162
Author(s):  
Umma Salma ◽  
Nurul Amin Khan ◽  
Mohammad Abdus Sattar Sarker ◽  
Shamsun Nahar ◽  
Rowsan Ara
Keyword(s):  
Cavernous Sinus ◽  
Superior Orbital Fissure ◽  
Painful Ophthalmoplegia ◽  
Medical College ◽  
Hunt Syndrome ◽  
Unilateral Headache ◽  
Nonspecific Inflammation

Tolosa-Hunt Syndrome (THS) is a painful opthalmoplegia caused by nonspecific inflammation of cavernous sinus or superior orbital fissure. Here, we present a case of THS who presented with severe unilateral headache and opthalmoplegia, responded dramatically with systemic steroidJ Dhaka Medical College, Vol. 24, No.2, October, 2015, Page 160-162

Angiographic Findings in the Tolosa-Hunt Syndrome: Painful Ophthalmoplegia

Radiology ◽  
1973 ◽  
Vol 106 (1) ◽  
pp. 105-112 ◽  
Author(s):  
Fred K. Sondheimer ◽  
James Knapp
Keyword(s):  
Painful Ophthalmoplegia ◽  
Hunt Syndrome ◽  
Angiographic Findings

scholarly journals Remittent painful ophthalmoplegia: the Tolosa-Hunt syndrome? A report of seven cases and review of the literature.

1979 ◽  
Vol 42 (3) ◽  
pp. 270-275 ◽  
Author(s):  
T L Dornan ◽  
M L Espir ◽  
E A Gale ◽  
R B Tattersall ◽  
B S Worthington
Keyword(s):  
Review Of The Literature ◽  
Painful Ophthalmoplegia ◽  
Hunt Syndrome

The Tolosa-Hunt Syndrome (Painful Ophthalmoplegia) in Children

2008 ◽  
Vol 15 (4) ◽  
pp. 506-509 ◽  
Author(s):  
Christopher F. Terrence ◽  
Frederick J. Samaha
Keyword(s):  
Painful Ophthalmoplegia ◽  
Hunt Syndrome

Probable Tolosa-Hunt syndrome with a normal MRI

Cephalalgia ◽  
2014 ◽  
Vol 35 (5) ◽  
pp. 449-452 ◽  
Author(s):  
Mahmoud Abdelghany ◽  
Daniel Orozco ◽  
William Fink ◽  
Christopher Begley
Keyword(s):  
Past History ◽  
Cranial Nerves ◽  
Non Hodgkin Lymphoma ◽  
Hunt Syndrome ◽  
Unilateral Headache ◽  
Mild Improvement ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Stage Renal Disease ◽  
End Stage

Background We are reporting a rare case of a 60-year-old woman with a past history of end-stage renal disease and non-Hodgkin lymphoma who presented to our hospital with confusion, unilateral headache, painful ophthalmoplegia and ptosis. The patient was diagnosed clinically with Tolosa-Hunt syndrome (THS). Results THS is a diagnosis of exclusion. Other diseases were ruled out. Magnetic resonance imaging (MRI) of the brain and orbit was negative twice within a week. The patient was treated with corticosteroids with marked improvement of the orbital pain and headache and mild improvement of the cranial nerves palsy. Conclusion Clinical diagnosis of THS could be supported by radiological findings. According to the International Classification of Headache Disorders (ICHD)-3 beta diagnostic criteria, the diagnosis must be confirmed with an abnormal MRI and/or pathological sample. We add to the previous findings of THS with a normal MRI. Although MRI plays a crucial role in differential diagnosis, it should not, nor should the biopsy, be a must for the diagnosis. Limitations of using MRI in some patients are another problem.

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