The Tolosa-Hunt syndrome

Dalen, Jeanne; Bleeker, G. M.

doi:10.1007/bf00171468

Cited by 8 publications

(6 citation statements)

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“…Evidence supporting the value of orbital phlebography in similar cases was reported in the following years (1,4,5,7,9,12,14,18,22,23). In 1979 MUHLETALER & GERLOCK (16) reported 26 cases with a clinical diagnosis of TolosaHunt's syndrome.…”

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confidence: 61%

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Orbital Phlebography in Patients with Tolosa-Hunt's Syndrome in Comparison with Normal Subjects

Hannerz¹,

Ericson²,

Bergstrand³

1984

Acta Radiologica. Diagnosis

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Orbital phlebography has been reported to be pathologic in some patients with Tolosa-Hunt's syndrome (recurrent painful ophthalmoplegia). A systematic study of the phlebographic findings in Tolosa-Hunt's syndrome in comparison with a normal material seems not to have been performed. In this investigation, orbital phlebography was performed in 19 patients with Tolosa-Hunt's syndrome and in a reference group of 23 persons without the disease. In 13 of 19 patients (68%) with Tolosa-Hunt's syndrome, the phlebography was pathologic (narrowing or occlusion of particularly the third segment of the superior ophthalmic vein, partial occlusion of the cavernous sinus). Orbital phlebography was normal in all but one of the subjects in the reference group. The medical history of this subject in retrospect revealed symptoms other than painful ophthalmoplegia commonly found in patients with Tolosa-Hunt' syndrome, suggesting that he suffered from a variant of the disease causing the syndrome. In one patient with recurrent painful ophthalmoplegia a biopsy from an eye muscle showed venous vasculitis, probably indicating the basic pathology behind the phlebographic changes in patients with Tolosa-Hunt's syndrome.

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confidence: 61%

“…In 1971, MILSTEIN & MORRETIN (5) reported a case of Tolosa-Hunt's syndrome examined with orbital phlebography showing occlusion of the superiAccepted for publication 21 May 1984. or ophthalmic vein. Evidence supporting the value of orbital phlebography in similar cases was reported in the following years (1,4,5,7,9,12,14,18,22,23).…”

mentioning

confidence: 98%

Orbital Phlebography in Patients with Tolosa-Hunt's Syndrome in Comparison with Normal Subjects

Hannerz¹,

Ericson²,

Bergstrand³

1984

Acta Radiologica. Diagnosis

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“…THS is characterized by initial and recurrences episodes of painful ophthalmoplegia due to idiopathic granulomatous inflammation of the cavernous sinus and orbita [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] . In our case the propagation of pseudo inflammatory process from the cavernous sinus into the retrobulbar space and paranasal cavities was interpreted by the otorhinolaryngologist as nonspecific sinusitis.…”

Section: Discussionmentioning

confidence: 99%

“…The disease is characterized by periorbital pain, headaches on the same periorbital side and diplopia. Clinical signs of the disease are slight protrusion, limited movements of the eyeball due to paresis of the oculomotor nerve and sensitive outbreaks in the area of V1 and V2 branch of the trigeminal nerve [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] . The disease is recurrent and it responds well to steroid treatment [5][6][7]16 .…”

Section: Introductionmentioning

confidence: 99%

Tolosa-Hunt syndrome - diagnostic problem of painful ophthalmoplegia

Paović¹,

Paović²,

Bojkovic³

et al. 2012

VSP

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According to the International Headache Society Classification of 2004, THS is an entity that occurs rarely, its etiopathogenesis is unknown, it is manifested clinically by unilateral orbital pain associated with simple or multiple oculomotor paralyses, which resolves spontaneously but may recur. MRI orbital phlebography and biopsy are the recommended methods for making diagniosis. In our patient MRI findings and positive response to the corticosteroide treatment were relevant for making the diagnosis.

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“…Initially, radiological studies of patients with the syndrome yielded normal results, or subtle cerebral angiographic abnormalities 23 12 15 Orbital venography often disclosed abnormalities in filling of the superior ophthalmic vein or cavernous sinus,10 16-19 but these techniques are difficult and therefore not consistently performed. In addition, venographic abnormalities are not specific for Tolosa-Hunt syndrome, and may be found with space occupying lesions or other inflammatory processes in the orbit or parasellar region.…”

Section: Historical Reviewmentioning

confidence: 99%