A rare presentation of relapse on opposite side in an elderly female
Keywords:
Cranial neuropathy, Differential diagnosis, Painful ophthalmoplegia, Ptosis, Tolosa–Hunt syndrome, Steroid treatmentAbstract
Tolosa-hunt syndrome (THS) is a rare disorder manifesting as unilateral orbital pain associated with paresis of one or more of the 3rd, 4th, 6th as well as superior divisions of 5th cranial nerves caused by a granulomatous inflammation in the cavernous sinus, superior orbital fissure or orbit [1]. Here, we report a case of recurrent THS in a 65-year-old female who presented to us with an episode of painful ophthalmoplegia showing excellent response to steroids and having recurrence after a period of 2 years with similar complaints on the opposite side.
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References
Headache Classification Committee of theInternational Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013 Jul; 33 (9):629-808. doi: 10. 1177/m 033310 2413485658. PMID: 23771276.
Amrutkar C, Burton EV. Tolosa-Hunt Syndrome. 2021 Aug 11. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 29083745.
K C S, K C S, Kunwar P, Dhungana K. Tolosa-Hunt Syndrome: A Case Report. JNMA J Nepal Med Assoc. 2021 Jul 1;59(238):604-607. doi: 10. 31729/jnma. 5700. PMID: 34508416; PMCID: PMC8369562.
Hannerz J. Recurrent Tolosa-Hunt syndrome. Cephalalgia. 1992 Feb;12(1):45-51
Kline LB, Hoyt WF. The Tolosa-Hunt syndrome.J NeurolNeurosurg Psychiatry. 2001 Nov;71(5): 577-82. doi: 10.1136/jnnp.71.5.577. PMID: 1160 6665; PMCID: PMC1737614
Zhang X, Zhang W, Liu R, et al. Factors that influence Tolosa-Hunt syndrome and the shortterm response to steroid pulse treatment. J NeurolSci 2014; 341:13.