A Case of Tolosa-Hunt Syndrome.
- Author:
Il Gyu KANG
1
;
Joo Hyun JUNG
;
Seon Tae KIM
;
Heung Eog CHA
Author Information
1. Department of Otolaryngology-Head & Neck Surgery, Gil Medical Center, Gachon University of Medicine and Science, Incheon, Korea. eyik@naver.com
- Publication Type:Case Report
- Keywords:
Tolosa-hunt syndrome;
Sphenoid Sinusitis;
Steroid
- MeSH:
Abducens Nerve;
Adolescent;
Blinking;
Brain;
Cavernous Sinus;
Cranial Nerves;
Diplopia;
Exophthalmos;
Humans;
Hypesthesia;
Inflammation;
Neurologic Examination;
Ophthalmoplegia;
Orbit;
Sphenoid Sinus;
Sphenoid Sinusitis;
Tolosa-Hunt Syndrome
- From:Journal of Rhinology
2009;16(1):65-67
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Tolosa-Hunt syndrome (cavernoussinusitis) is a term used to describe diseases involving the content of the superior orbital fissure and/or anterior cavernous sinus, presenting as painful ophthalmoplegia, along with granulomatous inflammation. The third, fourth, fifth and sixth cranial nerves pass through the carvenous sinus. Thus, when infection spreads into the cavernous sinus, these cranial nerves may be paralyzed and corneal reflexes may disappear. Pain and hypoesthesia of the area, which is innervated by the maxillary branch of the fifth nerve, can be accompanied with this syndrome. Tolosa-Hunt syndrome can be improved dramatically with high-dose steroid therapy. A 15-year-old boy who had retro-orbital pain, diplopia and exophthalmos was diagnosed with sphenoid sinusitis by PNS CT. He underwent brain MRI and neurologic examination because the symptoms persisted after the endoscopic sinus surgery. He was finally diagnosed with Tolosa-Hunt syndrome and his symptoms were improved with steroid therapy.
