Case report

TOLOSA-HUNT SYNDROME: A CASE REPORT

MARIJAN KOVAČIĆ
IVAN KOVAČIĆ
ANA KRVAVICA
IVICA NEKIĆ
MLADEN HARAPIN

Abstract

Tolosa-Hunt syndrome is a nonspecific granulomatous inflammation of the cavernous sinus, superior orbital fissure and apex of the orbit. It involves episodes of unilateral orbital pain which may last several weeks, lesions of cranial nerve III, IV or VI, and rarely II, V, VII and VIII. It is characterized by remissions and exacerbations, and can cause permanent neurological disorder of the affected nerves. We present the course of the disease in a patient whose initial symptom was gradual visual loss in the right eye, followed by neuralgic pain in the right orbit and face. The diagnosis was confirmed by biopsy and corticosteroid therapy was administered. Exacerbation of the disease required repeated surgery, excision of the fibrous tissue of the cavernous sinus, as well as prolonged corticosteroid therapy

Keywords

Tolosa-Hunt syndrome – diagnosis, complications, therapy; Cavernous sinus – pathology; Ophthalmoplegia – etiology

Hrčak ID:

63577

URI

https://hrcak.srce.hr/63577

Publication date:

30.6.2010.

Article data in other languages: croatian

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