Volume 29, Issue 132 (January & February 2021)                   J Adv Med Biomed Res 2021, 29(132): 41-45 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Farahani F, Shariatpanahi E, Sadegh S. Tolosa-Hunt-Like Syndrome: A Case Report. J Adv Med Biomed Res 2021; 29 (132) :41-45
URL: http://journal.zums.ac.ir/article-1-5949-en.html
1- Department of Otolaryngology, Hearing Disorders Research Center of Beasat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran
2- Department of Otolaryngology, Hearing Disorders Research Center of Beasat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran , e.shariatpanahi@yahoo.com
Abstract:   (142886 Views)

Tolosa-Hunt syndrome (THS) is a painful ophthalmoplegia associated with granulomatous inflammation of the cavernous carotid artery and surrounding tissues which responds to corticosteroid. Other causes of painful ophthalmoplegia must be ruled out. We present a case of THS in which the course of the disease suggested this idiopathic condition which occurred after wide mastoidectomy. The patient was diabetic and had a huge pituitary gland adenoma. Partial petrosectomy, laboratory tests, and imaging studies were normal. We named this condition ‘Tolosa-Hunt-Like Syndrome’.

Full-Text [PDF 453 kb]   (153708 Downloads) |   |   Full-Text (HTML)  (2702 Views)  

✅ We present a case of THS in which the course of the disease suggested this idiopathic condition which occurred after wide mastoidectomy. The patient was diabetic and had a huge pituitary gland adenoma. Partial petrosectomy, laboratory tests, and imaging studies were normal. We named this condition ‘Tolosa-Hunt-Like Syndrome’.


Type of Study: Case report | Subject: Clinical medicine
Received: 2020/03/9 | Accepted: 2020/06/16 | Published: 2020/11/14

References
1. Headache Classification Committee of the International Headache Society (IHS). The international classification of headache disorders, (beta version). Cephalalgia. 2013;33(9):629-808. [DOI:10.1177/0333102413485658]
2. Colnaghi S, Versino M, Marchioni E,et al. ICHD-II diagnostic criteria for Tolosa-Hunt syndrome in idiopathic inflammatory syndromes of the orbit and/or the cavernous sinus. Cephalalgia. 2008;28(6):577-84. [DOI:10.1111/j.1468-2982.2008.01569.x]
3. Calistri V, Mostardini C, Pantano P, Pierallini A, Colonnese C, Caramia F. Tolosa-Hunt syndrome in a patient with systemic lupus erythematosus. Europ Radiol. 2002;12(2):341-4. [DOI:10.1007/s003300100960]
4. Smith JL, Taxdal DS. Painful ophthalmoplegia: The Tolosa-Hunt syndrome. Am J Ophthalmol. 1966;61(6):1466-72. [DOI:10.1016/0002-9394(66)90487-9]
5. Schatz NJ, Farmer P. Tolosa-Hunt syndrome: the pathology of painful ophthalmoplegia. In Neuro Ophthalmology. Symposium of the University of Miami and the Bascom Palmer Eye Institute 1972 (Vol. 6, pp. 102-12).
6. Tolosa E. Periarteritic lesions of the carotid siphon with the clinical features of a carotid infraclinoidal aneurysm. J Neurol Neurosurg Psychiatr. 1954;17(4):300. [DOI:10.1136/jnnp.17.4.300]
7. Hunt WE, Meagher JN, LeFever HE, Zeman W. Painful ophthalmoplegia: its relation to indolent inflammation of the cavernous sinus. Neurol. 1961;11(1):56. [DOI:10.1212/WNL.11.1.56]
8. Schuknecht B, Sturm V, Huisman TA, Landau K. Tolosa-Hunt syndrome: MR imaging features in 15 patients with 20 episodes of painful ophthalmoplegia. Europ J Radiol. 2009;69(3):445-53. [DOI:10.1016/j.ejrad.2007.11.034]
9. Yuliati A, Rajamani K. Tolosa-Hunt Syndrome. Neurohospitalist. 2018;8(2):104. [DOI:10.1177/1941874417714147]
10. Yousem DM, Atlas SW, Grossman RI, Sergott RC, Savino PJ, Bosley TM. MR imaging of Tolosa-Hunt syndrome. Am J Neuroradiol. 1989;10(6):1181-4.
11. Goadsby PJ, Lance JW. Clinicopathological correlation in a case of painful ophthalmoplegia: Tolosa-Hunt syndrome. J Neurol, Neurosurg Psychiatr. 1989;52(11):1290- [DOI:10.1136/jnnp.52.11.1290]
12. Drevelengas A, Kalaitzoglou I, Tsolaki M. Tolosa-Hunt syndrome with sellar erosion: case report. Neuroradiol. 1993; 35:451-53 [DOI:10.1007/BF00602828]
13. Hao R, He Y, Zhang H, Zhang W, Li X, Ke Y. The evaluation of ICHD-3 beta diagnostic criteria for Tolosa-Hunt syndrome: a study of 22 cases of Tolosa-Hunt syndrome. Neurol Sci. 2015;36(6):899-905., [DOI:10.1007/s10072-015-2124-2]
14. Mantia LL, Curone M, Rapoport AM, Bussone G. Tolosa-Hunt syndrome: critical literature review based on IHS 2004 criteria. Cephalalgia. 2006;26(7):772-81. [DOI:10.1111/j.1468-2982.2006.01115.x]

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Advances in Medical and Biomedical Research

Designed & Developed by : Yektaweb