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Tolosa-Hunt Syndrome – Case Report

Sandra Zečević Penić ; Sveti Ivan Psychiatry Hospital
Marijana Lisak ; Clinical Department of Neurology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Tomislav Gregurić ; Clinical Department of Neurology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Hrvoje Hećimović ; Neuro Centar, Zagreb, Croatia
Vanja Bašić Kes ; Clinical Department of Neurology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia

Puni tekst: engleski, pdf (221 KB) str. 331-337 preuzimanja: 549* citiraj
APA 6th Edition
Zečević Penić, S., Lisak, M., Gregurić, T., Hećimović, H. i Bašić Kes, V. (2017). Tolosa-Hunt Syndrome – Case Report. Acta clinica Croatica, 56. (2.), 331-337.
MLA 8th Edition
Zečević Penić, Sandra, et al. "Tolosa-Hunt Syndrome – Case Report." Acta clinica Croatica, vol. 56., br. 2., 2017, str. 331-337. Citirano 24.06.2021.
Chicago 17th Edition
Zečević Penić, Sandra, Marijana Lisak, Tomislav Gregurić, Hrvoje Hećimović i Vanja Bašić Kes. "Tolosa-Hunt Syndrome – Case Report." Acta clinica Croatica 56., br. 2. (2017): 331-337.
Zečević Penić, S., et al. (2017). 'Tolosa-Hunt Syndrome – Case Report', Acta clinica Croatica, 56.(2.), str. 331-337.
Zečević Penić S, Lisak M, Gregurić T, Hećimović H, Bašić Kes V. Tolosa-Hunt Syndrome – Case Report. Acta clinica Croatica [Internet]. 2017 [pristupljeno 24.06.2021.];56.(2.):331-337.
S. Zečević Penić, M. Lisak, T. Gregurić, H. Hećimović i V. Bašić Kes, "Tolosa-Hunt Syndrome – Case Report", Acta clinica Croatica, vol.56., br. 2., str. 331-337, 2017. [Online].

This case report presents a patient diagnosed with Tolosa-Hunt syndrome (THS) after an extensive neuro-diagnostic and neuroimaging evaluation. Diagnostic work-up included thorough physical and neurological examination, complete laboratory serum assessments, neuroendocrine and immunohistochemistry analysis, cerebrospinal fluid analysis, neurophysiology assessment, ophthalmologist examination and neuroimaging. Th e most important diagnostic tool in deriving the diagnosis of THS was neuroimaging evaluation that included baseline and follow-up cranial contrast enhanced magnetic resonance imaging (MRI). Baseline cranial contrast enhanced MRI detected a nonspecific inflammatory granulomatous lesion in the right cavernous sinus extending basally towards the right trigeminal cave (Meckel‘s cave) and anteriorly towards the apex of the right orbit. Systemic intravenous high-dose corticosteroid therapy was administered for 3 consecutive days and then tapered down to lower oral steroid doses. Following therapy, the patient experienced complete regression of symptoms. Follow-up cranial contrast enhanced MRI showed significant regression of inflammatory lesion in the area of right cavernous sinus, thus verifying the efficacy of the treatment applied. This paper shows that an extensive diagnostic schedule for THS must be conducted prior to therapeutic treatment, for the possibility of alternative diagnosis. Patients suspected of having THS require careful evaluation, appropriate treatment, and follow-up.

Ključne riječi
Tolosa-Hunt syndrome – diagnosis; Tolosa-Hunt syndrome – drug therapy; Magnetic resonance imaging; Adrenal cortex hormones; Case reports

Hrčak ID: 186483



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