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Tolosa Hunt Syndrome

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TOLOSA-HUNT SYNDROME WITH PITUITARY INVOLVEMENT.

Run Yu,

Endocr Pract (Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists)
[2020, :]

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Gone in the blink of an eye - A Tolosa-Hunt syndrome variant.

Farzan Dholoo, Amanda Shabana, Myrella Paschali, Amit K J Mandal, Constantinos G Missouris,

Tolosa-Hunt syndrome is a rare disorder characterized by severe peri-orbital headache and ophthalmoplegia resulting from pseudotumour in the cavernous sinus compressing structures within it, namely cranial nerves III, IV, and VI and the superior divisions of cranial nerve V. We report the case of a 47 year old female who presented ... Read more >>

J Clin Neurosci (Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia)
[2020, 72:458-460]

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Tolosa-Hunt Syndrome: Long-Term Outcome and Role of Steroid-Sparing Agents.

Anupriya Arthur, Ajith Sivadasan, Pavitra Mannam, A T Prabakhar, Sanjith Aaron, Vivek Mathew, M Karthik, Rohith Ninan Benjamin, Shaikh Atif Iqbalahmed, Gideon Lyngsyun Rynjah, Mathew Alexander,

Background:Tolosa-Hunt Syndrome (THS) is one of the causes of cavernous sinus syndrome causing painful ophthalmoplegia. Literature on long-term outcome of this rare condition is scarce. Aims and Objectives:The aim is to study the recurrence and role of steroid-sparing agents in THS. Methodology:All cases of THS treated at a tertiary-level teaching ... Read more >>

Ann Indian Acad Neurol (Annals of Indian Academy of Neurology)
[2020, 23(2):201-205]

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Successful treatment of pediatric Tolosa-Hunt syndrome with adalimumab.

Jameson Wiener, Randy Q Cron,

OBJECTIVE:Tolosa-Hunt syndrome (THS) is a rare disease characterized by painful unliteral ophthalmoplegia and headache. THS is caused by granulomatous inflammation of the cavernous sinus, and its diagnosis is typically made by elimination and exclusion. The characteristic pain can typically be managed with steroid therapy, but relapses are common. Additional therapy ... Read more >>

Eur J Rheumatol (European journal of rheumatology)
[2019, :1-3]

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Reappraising the Tolosa-Hunt Syndrome Diagnostic Criteria: A Case Series.

Evan Mullen, John W Rutland, Mark W Green, Joshua Bederson, Raj Shrivastava,

INTRODUCTION:Tolosa-Hunt syndrome (THS), a condition characterized by painful ophthalmoplegia and accompanied by cranial nerve palsies, remains as a diagnosis of exclusion. Nevertheless, the 3rd Edition of the International Classification of Headache Disorders (ICHD) has refined its diagnostic criteria to require the demonstration of granulomatous inflammation on magnetic resonance imaging or ... Read more >>

Headache (Headache)
[2020, 60(1):259-264]

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Orbital Apex Syndrome: A Review.

Akshay Badakere, Preeti Patil-Chhablani,

Orbital apex syndrome is characterized by vision loss from optic neuropathy and ophthalmoplegia due to the involvement of ocular motor nerves in the anatomical region of the orbital apex. Patients could present with signs and symptoms deriving from the involvement of structures within the orbital apex, the superior orbital fissure ... Read more >>

Eye Brain (Eye and brain)
[2019, 11:63-72]

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Tolosa-Hunt Syndrome as an Initial Presentation of Sarcoidosis.

Anahy Brandy-García, Carlos Suárez-Cuervo, Luis Caminal-Montero,

Reumatol Clin (Reumatologia clinica)
[2019, :]

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Pediatric rheumatology: A special issue from the European Journal of Rheumatology.

Amr H. Sawalha,

(European Journal of Rheumatology)
[2020, 7(Suppl 1):S1-S2]

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Optic Perineuritis in a Case of Tolosa-Hunt Syndrome.

Teena Mariet Mendonca, Basavaprabhu Achappa, Sumana J Kamath, Gladys Reshma Rodrigues,

J Neurosci Rural Pract (Journal of neurosciences in rural practice)
[2019, 10(3):504-505]

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Burkitt lymphoma masquerading as Tolosa-Hunt syndrome in an HIV-seropositive patient.

Iyza Baig, Ashley Webb, Eric L Crowell, Emilio P Supsupin, Ore-Ofe O Adesina,

PURPOSE:To describe a rare case of Burkitt lymphoma metastatic to the cavernous sinus that was initially diagnosed as Tolosa-Hunt syndrome. CASE DESCRIPTION:A 31-year-old confirmed and treatment-compliant HIV-positive Hispanic male acutely developed diplopia, ptosis, numbness in the V1 distribution, and complete external ophthalmoplegia in the right eye over 1 week. Imaging showed ... Read more >>

Eur J Ophthalmol (European journal of ophthalmology)
[2020, 30(2):NP41-NP46]

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[Cavernous sinus syndrome as the initial symptom of Burkitt's lymphoma: a case report and literature review].

M Ruiz-Ortiz, F J Azcarate-Diaz, D Galindo-Rodriguez, N Torres-Calcines, P Calleja-Castano,

INTRODUCTION:The cavernous sinus is a structure in the base of the skull that houses several nerve and vascular structures. Its compromise leads to cavernous sinus syndrome, which is a combination of oculomotor disorders and others affecting the first two trigeminal branches, often accompanied by pain or proptosis. Infiltration due to ... Read more >>

Rev Neurol (Revista de neurologia)
[2019, 69(6):249-254]

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Endoscopic transnasal image-guided approach to diagnosis in orbital apex and optic canal lesions.

S N Unadkat, C E Rennie, W E Grant,

OBJECTIVE:Prompted by a recurring skull base multidisciplinary team debate on the necessity of securing a definitive tissue diagnosis before initiating treatment for lesions of the orbital apex, a review of anterior skull base procedures over an 11-year period was undertaken. METHODS:Data collected prospectively on cases from 2006 to 2017 were ... Read more >>

J Laryngol Otol (The Journal of laryngology and otology)
[2019, 133(6):501-507]

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A Case of Tolosa-Hunt Syndrome With Discoid Lupus Erythematosus.

Amy W Yu, Eli J Finkelsztein, Natalie T Cheng,

The occurrence of Tolosa-Hunt syndrome (THS) in the setting of discoid lupus erythematosus (DLE) has not been previously reported. We report a case of a 55-year-old Chinese man with established cutaneous lupus who presented with 1 week of worsening blurry vision and ptosis of the left eye with severe headache ... Read more >>

Neurohospitalist (The Neurohospitalist)
[2020, 10(1):48-50]

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Tolosa-Hunt Syndrome: Clinical Manifestations in Children.

Maria Tsirigotaki, George Ntoulios, Michail Lioumpas, Spyridon Voutoufianakis, Pelagia Vorgia,

BACKGROUND:Tolosa-Hunt syndrome (THS) is a rare condition in children characterized by painful ophthalmoplegia caused by inflammation of unknown etiology in the cavernous sinus, superior orbital fissure, or orbital apex. Our main purpose was to report two pediatric cases of THS, a typical one and another extremely rare one preceded by ... Read more >>

Pediatr. Neurol. (Pediatric neurology)
[2019, 99:60-63]

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A 17-Year-Old Girl With Unilateral Headache and Double Vision.

Larissa G Rodriguez-Homs, Mark Goerlitz-Jessen, Samrat U Das,

Tolosa-Hunt syndrome is characterized by a painful ophthalmoplegia secondary to a granulomatous inflammation in or adjacent to the cavernous sinus. Magnetic resonance imaging will show enhancement of the cavernous sinus and/or the orbital apex. Although this syndrome is extremely rare in children, it should be a diagnostic consideration in patients ... Read more >>

J Investig Med High Impact Case Rep (Journal of Investigative Medicine High Impact Case Reports)
[2019, 7:2324709619838309]

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Imaging of cranial nerves: a pictorial overview.

Nicola Romano, Margherita Federici, Antonio Castaldi,

The human body has 12 pairs of cranial nerves that control motor and sensory functions of the head and neck. The anatomy of cranial nerves is complex and its knowledge is crucial to detect pathological alterations in case of nervous disorders. Therefore, it is necessary to know the most frequent pathologies ... Read more >>

Insights Imaging (Insights into imaging)
[2019, 10(1):33]

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Idiopathic Lateral Rectus Myositis Without Signs of Orbital Inflammation.

Mohammed Wazir, Mohammed FaisalUddin, Daniel Tambunan, Akriti G Jain,

Idiopathic orbital inflammation (IOI), also known as orbital pseudotumor, is a nonspecific term that represents inflammation of unknown etiology that could affect various orbital structures. We report a case of IOI with an atypical presentation mimicking other clinical conditions. Our patient did not show the typical signs of inflammation that ... Read more >>

Cureus (Cureus)
[2019, 11(6):e4859]

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A 76-year-old woman with progressive right-sided proptosis, blepharoptosis, vision loss, and ophthalmoplegia.

Grayson W Armstrong, Karen Jeng-Miller, Patrick Oellers, Michael K Yoon,

Digit J Ophthalmol (Digital journal of ophthalmology : DJO)
[2019, 25(3):45-48]

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Clinical features of hypertrophic pachymeningitis in a center survey.

Gonçalo Cação, Margarida Calejo, José Eduardo Alves, Pedro Bettencourt Medeiros, Nuno Vila-Cha, Teresa Mendonça, Ricardo Taipa, Ana Martins Silva, Joana Damásio,

BACKGROUND:Hypertrophic pachymeningitis (HP) is characterized by cranial and/or spinal thickening of the dura mater with or without associated inflammation. Neuroimaging studies reveal dura mater thickening and focal or diffuse contrast enhancement. It is described in association with trauma, infections, tumors, autoimmune/inflammatory diseases, and cerebrospinal fluid hypotension syndrome, with some cases ... Read more >>

Neurol. Sci. (Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology)
[2019, 40(3):543-551]

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An unusual presentation of sphenoid Candida fungal ball: a case report.

Geng Ju Tuang, Farah Dayana Zahedi, Izzah Akashah, Jennifer Peak Hui Lee, Zainal Azmi Zainal Abidin,

The clinical presentation of a sphenoid fungal ball (FB) is often non-specific and tends to be overlooked, particularly in hosts with an intact immune status. Rarely, potentially life-threatening complications may arise, owning its anatomical characteristics with contiguous structures. Herein, we present an unusual case of sphenoid FB complicated with orbital ... Read more >>

J Surg Case Rep (Journal of Surgical Case Reports)
[2019, 2019(8):rjz240]

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Carotid-cavernous fistula(CCF) presenting as paroxysmal painful ophthalmoplegia.

Shan Li, Bin Feng, Yabo Feng, Zaiying Pang, Youting Lin,

BACKGROUND:Painful ophthalmoplegia can be caused by various etiologies, and broad differential diagnosis is needed. Carotid-cavernous fistula (CCF) is a rare cause of painful ophthalmoplegia, and early diagnosis is quite difficult. CASE PRESENTATION:Here, we present a case of paroxysmal painful ophthalmoplegia caused by CCF. The episodic symptoms were nonstereotypical and lasted ... Read more >>

BMC Ophthalmol (BMC ophthalmology)
[2019, 19(1):48]

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A case of delirium in Tolosa-Hunt syndrome during corticosteroid therapy.

Rie Ishikawa, Yuhei Ishikawa, Takeshi Kubota, Kumi Shirahama,

BACKGROUND:Corticosteroid therapy is useful for the resolution of pain and paresis in Tolosa-Hunt syndrome; however, there is no definitive protocol for appropriate dosing, route of administration, or duration of therapy. Steroid psychosis is an adverse reaction to corticosteroid therapy; in severe cases, it can develop into psychiatric disorders such as ... Read more >>

JA Clin Rep (JA clinical reports)
[2018, 4(1):58]

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Time to retire the Tolosa-Hunt syndrome?

Christian J Lueck,

Pract Neurol (Practical neurology)
[2018, 18(5):350-351]

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A cavernous sinus lesion clinically responsive to steroids.

M W Ruff, I D Carabenciov, D R Johnson, B E Pollock, J E Parisi, J P Klaas,

Tolosa Hunt syndrome (THS) is characterized by painful ophthalmoplegia secondary to idiopathic granulomatous inflammation of the cavernous sinus. The characteristic finding on MRI is an enhancing T1 isointense and T2 hypo- or hyperintense cavernous sinus mass lesion, which may result in focal narrowing of the ipsilateral internal carotid artery. Although ... Read more >>

J Clin Neurosci (Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia)
[2018, 53:239-240]

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High-resolution magnetic resonance imaging at 3T of pituitary gland: advantages and pitfalls.

Marco Varrassi, Flavia Cobianchi Bellisari, Federico Bruno, Pierpaolo Palumbo, Raffaele Natella, Nicola Maggialetti, Massimo De Filippo, Ernesto Di Cesare, Antonio Barile, Carlo Masciocchi, Ferdinando Caranci, Alessandra Splendiani,

Magnetic resonance imaging (MRI) is the primary imaging tool for the evaluation of pituitary gland pathology. In the last decades, MRI with high-field scanners has become widely used in clinical practice, leading to significant improvements in image quality mainly thanks to a superior spatial resolution and signal intensity. Moreover, several ... Read more >>

Gland Surg (Gland surgery)
[2019, 8(Suppl 3):S208-S215]

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