A Rare Case of Tolosa-Hunt-Like Syndrome in a Poorly Controlled Diabetes Mellitus

Lasam, Glenmore; Kapur, Sakshi

doi:10.1155/2016/9763621

Cited by 10 publications

(6 citation statements)

References 22 publications

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“… 73 Other reports have documented perineural enhancement in the MCF in addition to CS findings. 74 75 Nevertheless, it is imperative to look for a diffuse/multifocal pathology in all cases with the involvement of extracavernous structures.…”

Section: R Esultsmentioning

confidence: 99%

Tolosa–Hunt Syndrome

Dutta

Anand

2021

Journal of Current Ophthalmology

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Purpose: To review the diagnostic criteria for Tolosa–Hunt syndrome (THS) and utility of recent modifications. Methods: We searched PubMed for keywords Tolosa Hunt and magnetic resonance imaging. We compared the three editions of International Classification of Headache Disorders and isolated case reports and case series with the assessment of cavernous internal carotid artery (ICA) caliber to find the prevalence of vascular anomalies. We also evaluated cases of THS with the involvement of extracavernous structures and the possible role of idiopathic hypertrophic pachymeningitis (HP). Cases diagnosed falsely as THS were also reviewed for the presence of atypical features and relevance of criterion D. We assessed nonconforming cases (those with normal neuroimaging benign THS) and idiopathic inflammatory orbital pseudotumor (IIPO). Results: Vascular abnormalities were found in 36.36% of THS cases. Benign THS may also show changes in ICA caliber. Evidence suggestive of idiopathic HP could be found in 57% of cases with the involvement of extracavernous structures, such as facial nerve and pituitary gland. Both THS and IIPO are steroid-responsive pathologies with similar clinical and radiological features. False-positive diagnosis of THS results from early labeling, based solely on clinical features and symptom resolution after steroid therapy. Conclusions: Benign THS may be a result of limitation of resolution of available neuroimaging technique or early testing. Early and late vascular changes can be seen in both THS and its benign variant; some of them are not innocuous. THS may be considered a type of focal idiopathic HP. IIPO may represent an anterior variant of THS. In the absence of histopathological diagnosis, steroid-induced resolution of symptoms should be confirmed radiologically and followed-up.

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Section: R Esultsmentioning

confidence: 99%

Tolosa–Hunt Syndrome

Dutta

Anand

2021

Journal of Current Ophthalmology

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“…Two out of six sufferers had kind 2 diabetes mellitus. Such co-lifestyles have been mentioned in current case reviews [16].…”

Section: Discussionmentioning

confidence: 99%

A Study of Etiological and Clinical Profile of Patients With LMN Cranial Nerve Palsy in a Tertiary Care Center at Thanjavur Medical College and Hospital

Gunasekaran

2021

Preprint

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Background: Neurological presentation with isolated/multiple cranial nerve palsy is normal and its different causes incorporate infection, autoimmune, neoplastic, and inflammatory pathologies. The etiological range may rely on geological areas. We attempted this study to investigate the clinical range and etiological profile of numerous cranial nerve palsy. Materials and methods: This planned observational study was led from January 2020 to January 2021. All the patients with cranial nerve palsy coming to the neurology OPD were taken for examinations. Essential targets were to characterize anatomical disorder/cranial nerve combinations and to set up etiology. The primary goals were to examine related components. Patients with neuromuscular junction disorder, anterior horn cell disease, myopathies, first and second cranial nerve dysfunction were excluded from the study. All patients went through an organized convention of clinical assessment, examinations, and few particular examinations as per clinical protocol for analysis. Results: Cavernous sinus was the commonest anatomical condition of different cranial nerve paralyses and tuberculous disease was the commonest cause in this investigation.7th cranial nerve was the common isolated nerve involved with idiopathic ethology, diabetes was the most common cause overall found with third nerve involvement.

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“…Ophthalmoparesis usually requires a long course of corticosteroid therapy. 11 Lasam et al 12 reported Tolosa-Hunt-like syndrome associated with progressive second, third, fifth, sixth, and eighth cranial nerve palsy in a diabetes mellitus patient. MRI of the brain showed cavernous sinus involvement.…”

Section: Discussionmentioning

confidence: 99%

Neurovascular Behçet's Disease Presenting With Cavernous Sinus Thrombosis: A Rare Case of Assumed Tolosa-Hunt-Like Syndrome

Chung

Lee

2020

Arch Rheumatol

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Behçet's disease (BD) is characterized by recurrent orogenital ulcers, uveitis and various neutrophilic dermatoses. The histopathological feature of BD includes vasculitis involving veins and arteries of distinct sizes. 1 Approximately 5 to 6% of all BD cases manifest various neurological symptoms. The prevalence of cerebral venous sinus thrombosis (CVST) in BD is 8%, which corresponds to 18% of neurovascular BD (neuro-BD). Sites frequently involved include the superior sagittal (64%) and the transverse sinus (61%). 2 However, the cavernous sinus involvement has been very rarely reported.

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A Rare Case of Tolosa-Hunt-Like Syndrome in a Poorly Controlled Diabetes Mellitus

Cited by 10 publications

References 22 publications

Tolosa–Hunt Syndrome

Tolosa–Hunt Syndrome

A Study of Etiological and Clinical Profile of Patients With LMN Cranial Nerve Palsy in a Tertiary Care Center at Thanjavur Medical College and Hospital

Neurovascular Behçet's Disease Presenting With Cavernous Sinus Thrombosis: A Rare Case of Assumed Tolosa-Hunt-Like Syndrome

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