The value of MRI in a case of Tolosa-Hunt syndrome

Odabaşı, Zeki; Gökçil, Zeki; Atilla, Serhan; Pabuşçu, Yüksel; Vural, Okay; Yardim, M.

doi:10.1016/s0303-8467(97)80015-7

Cited by 30 publications

(17 citation statements)

References 6 publications

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“…The findings include narrowing of the cavernous segment of the internal carotid artery, occluded superior opthalmic vein and nonvisualization of the cavernous sinus (11,13). Narrowing of the petrous segment of the internal carotid artery was also reported (14). Plain films might show erosion of the sella turcica (13,15).…”

Section: Discussionmentioning

confidence: 99%

The Radiological Evaluation of External Ophthalmoplegia: Tolosa-Hunt syndrome

et al. 2014

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Section: Discussionmentioning

confidence: 99%

The Radiological Evaluation of External Ophthalmoplegia: Tolosa-Hunt syndrome

et al. 2014

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“…It can delineate the detailed anatomical structure in the region and exclude a mass lesion infiltrating the surrounding tissue. It may reveal a convex enlargement of cavernous sinus with an abnormal tissue, being iso‐/hypointense with gray matter on T1 images and iso‐/hypo‐/hyperintense on T2 images 10,16 . This abnormal tissue markedly increases˙ in signal intensity after contrast injection.…”

Section: Discussionmentioning

confidence: 99%

Paediatric Tolosa‐Hunt syndrome

Yeung¹,

Kwong²,

Wong³

et al. 2004

J Paediatrics Child Health

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Tolosa-Hunt syndrome is characterized by a dull, persistent pain around the affected eye, ophthalmoplegia and, sometimes, involvement of other cranial nerves passing through the cavernous sinus. Corticosteroid administration is valuable in the treatment and frequently has a dramatic effect. We report a boy with Tolosa-Hunt syndrome who fails to respond to the initial steroid treatment. The role of the MRI in the management of this condition is discussed.

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“…Radiological evaluation with plain radiographic studies, orbital venography, cerebral angiography, and finally high-technology diagnostic modalities, such as CT and MRI, have been widely used to put forward the diagnosis of THS and to differentiate it from other organic lesions since the original report of Tolosa in 1954 [9,10,11,12,13,14,15].…”

Section: Discussionmentioning

confidence: 99%

“…With the widespread clinical use of MRI scans, the lesions related to the cavernous sinuses, vascular structures, cranial nerves, and neighboring neural parenchyma could have been visualized directly [3,4,12,13,15,16,19,31,33,35]. The vascular imaging studies only reveal intrinsic anatomical structures of the vessels and cavernous sinus, and moreover a normal orbital venography or cerebral angiography does not exclude the diagnosis of THS.…”

Section: Discussionmentioning

confidence: 99%

“…Orbital phlebography, cerebral angiography, and CT are the neuroradiological modalities that were used for the diagnosis of THS before the era of MRI [9,10,11,12,13,14]; however, the most sensitive neuroradiological modality for the diagnosis of THS is accepted as MRI, and the clinically widespread use of MRI helps in demonstrating the lesions that are directly responsible for the symptoms of THS [13,15,16,17,18,19].…”

Section: Introductionmentioning

confidence: 99%

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MRI findings in the patients with the presumptive clinical diagnosis of Tolosa-Hunt syndrome

Çakırer

2003

Eur Radiol

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The aim of this study was to present our experience in MRI diagnosis of 23 patients with the clinical findings suggesting Tolosa-Hunt syndrome (THS). Cranial MRI studies of the patients with a clinical history of at least one episode of unilateral or bilateral orbital and periorbital pain, and associated paresis of one or more of third to sixth cranial nerves, were performed on a 1.5-T MRI scanner. Whereas 5 patients had the diagnosis of THS, paracavernous meningiomas in 4 patients, pituitary macroadenomas with cavernous sinus infiltration in 3 patients, Meckel's cave neurinoma in 1 patient, and suprasellar epidermoid in 1 patient were surgically proven MRI findings. Other pathological MRI findings were leptomeningeal metastases in 3 patients, granulomatous pachymeningitis sequelae in 2 patients, and aneurysm with compression on cavernous sinus in 1 patient. Three patients had normal MRI findings. The incidence of radiologically proven diagnosis of THS among the patients with the clinical findings suggesting THS seemed to be low in our study. In conclusion, MRI is the most valuable imaging technique to distinguish THS from other THS-like entities, and permits a precise assessment, management, and therapeutic planning of the underlying pathological conditions.

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The value of MRI in a case of Tolosa-Hunt syndrome

Cited by 30 publications

References 6 publications

The Radiological Evaluation of External Ophthalmoplegia: Tolosa-Hunt syndrome

The Radiological Evaluation of External Ophthalmoplegia: Tolosa-Hunt syndrome

Paediatric Tolosa‐Hunt syndrome

MRI findings in the patients with the presumptive clinical diagnosis of Tolosa-Hunt syndrome

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