IDIOPATHIC TOLOSA-HUNT SYNDROME: FOUR ADDITIONAL CASES
Author
Sakalli, Karagoz N.
Topcular, Barış
Ozcan, M. E.
Kirbas, DURSUN
Gul, Gülsen
Aslan, Kalyoncu
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Idiopathic Tolosa Hunt syndrome (ITHS) is a very rare cause of painful ophthalmoplegia characterized by unilateral orbital pain, ipsilateral oculomotor paralysis and prompt response to steroids. In this paper we report 4 additional cases of ITHS. This rare cause of painful ophthalmoplegia effects the cranial nerves due to a granulomatous lesion of unknown etiology in the cavernous sinus or superior orbital fissure. The International Headache Society redefined the diagnostic criteria for ITHS but it is still mostly a diagnosis of exclusion. Careful evaluation and follow-up is essential for diagnosis. Optimal therapy duration and dosage and prophylactic treatment in recurrent cases needs further research.
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