Tolosa-Hunt Syndrome

Abstract We present a case study of Tolosa-Hunt syndrome, a rare idiopathic disease, that is characterized by painful ophthalmoplegia of strong intensity, generally affecting the third cranial nerve, and, less frequently, the fourth or the sixth cranial nerves. Usually, there is no visual impairment. The treatment is based on corticosteroids with satisfactory results in most cases although recurrences can occur at intervals from months to years. In our case, the patient presented sudden pain periorbital associated with cranial nerves involvement, which have an excellent outcome after treatment with corticosteroids, with no relapses until today.

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Bibliographic Details
Main Authors: Gameiro Filho,Aluisio Rosa, Faccenda,Paloma Gassen, Estacia,Carolina Tagliari, Correa,Beatriz Simões, Curi,Ian
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Oftalmologia 2018
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802018000500289
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Summary:Abstract We present a case study of Tolosa-Hunt syndrome, a rare idiopathic disease, that is characterized by painful ophthalmoplegia of strong intensity, generally affecting the third cranial nerve, and, less frequently, the fourth or the sixth cranial nerves. Usually, there is no visual impairment. The treatment is based on corticosteroids with satisfactory results in most cases although recurrences can occur at intervals from months to years. In our case, the patient presented sudden pain periorbital associated with cranial nerves involvement, which have an excellent outcome after treatment with corticosteroids, with no relapses until today.