Syndrome de Tolosa-Hunt

Mnaili, Mohamed Amine; Benmoh, Youssouf; Abida, Nabil; Kanga, Sun Son Well Born Bompangue; Reggabi, Amine; Hsaini, Y.; Bourazza, Ahmed

doi:10.1016/j.neurol.2016.01.075

Cited by 2 publications

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“…Controversy exists regarding the pathophysiological and etiology of THS. After ruling out other causes of painful ophthalmoplegia, this diagnosis of exclusion is still used [ 5 , 6 ]. Hunt [ 6 , 7 ] has established the following basic clinical standards: one or more episodes of unilateral orbital pain lasting for weeks without treatment; paresis of the third, fourth, or sixth cranial nerve; detection of granulomas by MRI or by biopsy; paresis coupled with unexpected onset of eye pain or pain within two weeks of ocular dysfunction; pain and paresis disappearing within 72 hours if treatment with corticosteroids is sufficient; and other etiologies have been excluded by appropriate investigations.…”

Section: Discussionmentioning

confidence: 99%

A New Case of Granulomatosis with Polyangiitis Presented with Tolosa–Hunt Syndrome Manifestations

Mohebbi,

Nafissi,

Alikhani

2024

Case Reports in Rheumatology

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Background. Tolosa–Hunt syndrome (THS) is a rare disorder involving the orbital and retro-orbital space. The typical symptoms include sensory loss in the trigeminal nerve’s distribution, orbital pain, swelling, headaches, and cranial nerve palsies. Case Presentation. We report a 40-year-old female who initially presented with biparietal headache, unresponsive to medication, which then led to ophthalmoplegia and orbital pain. Serological findings demonstrated positive CANCA-PR3. She was initially treated with 1 g pulse methylprednisolone for three days. Based on the rheumatological evaluation and her positive lung nodule, hematuria, dysmorphic red blood cells, and positive antiproteinase 3 classic antineutrophil cytoplasm antibodies (CANCA-PR3) and also based on the diagnostic criteria for granulomatosis with polyangiitis criteria for Wegner disease, her treatment was continued with prednisolone 1 mg/kg and also rituximab at the first and 14th day of treatment. Conclusion. In our case of THS, we achieved satisfactory improvement in symptoms through the administration of high-dose steroids.

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Section: Discussionmentioning

confidence: 99%

A New Case of Granulomatosis with Polyangiitis Presented with Tolosa–Hunt Syndrome Manifestations

Mohebbi,

Nafissi,

Alikhani

2024

Case Reports in Rheumatology

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Tolosa–Hunt Syndrome: A Painful Ophthalmoplegia

Bugeme

Cissé

Mukuku

et al. 2020

Case Reports in Neurological Medicine

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Tolosa–Hunt syndrome is a painful ophthalmoplegia characterized by recurrent unilateral orbital pain, ipsilateral oculomotor paralysis, and a rapid response to steroids. Our report describes a 37-year-old young woman who presented with right ptosis, ipsilateral ophthalmoplegia, and painful headache with no other neurological deficits in which all biological and neuroimaging investigations were normal. Complete recovery within one week of corticosteroid therapy was observed. This is probably the first case of Tolosa–Hunt syndrome reported in Dakar, Senegal.

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Syndrome de Tolosa-Hunt

Cited by 2 publications

References 0 publications

A New Case of Granulomatosis with Polyangiitis Presented with Tolosa–Hunt Syndrome Manifestations

A New Case of Granulomatosis with Polyangiitis Presented with Tolosa–Hunt Syndrome Manifestations

Tolosa–Hunt Syndrome: A Painful Ophthalmoplegia

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