Publicación Oficial de la Sociedad Ecuatoriana de Neurología, de la Liga Ecuatoriana Contra la Epilepsia y de la Sociedad Iberoamericana de Enfermedad Cerebrovascular

Tolosa-Hunt syndrome

 

Síndrome de Tolosa-Hunt con compromiso de tres ramas del nervio trigémino y nervio facial. Tolosa-Hunt Syndrome with involvement of three branches of the trigeminal nerve and facial nerve

Introduction: Tolosa-Hunt Syndrome consists of a sensory neuropathy of the trigeminal nerve associated with the paralysis of one or more ocular motor nerves, secondary to an idiopathic granulomatous inflammation of the cavernous sinus, the superior orbital fissure or the orbit.

Clinical case: 19-year-old patient with Tolosa-Hunt Syndrome accompanied by peripheral facial paralysis, with enhancement of the facial nerve.

Conclusions: Compromise of trigeminal nerve branches and facial nerve is a rare finding. Imaging studies contribute to the characterization of the etiology. Steroid treatment continues to be effective.

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Palabras clave: Desórdenes motores oculares, Oftalmoplejía (Descriptores DeSC/MeSH), Parálisis facial, Síndrome de Tolosa-Hunt, Tejido de granulación,

Keywords: Facial paralysis, Granulation Tissue, Ocular Motility Disorders, Ophthalmoplegia (Medical Subject Headings DeSC/MeSH), Tolosa-Hunt syndrome,

Síndrome de Tolosa-Hunt: Hallazgos en Resonancia Magnética Cerebral antes y después del tratamiento con Terapia Corticoidal Sistémica.

Tolosa-Hunt syndrome is characterized by painful ophthalmoplegia due to a granulomatous inflammation in the cavernous sinus. Corticosteroid therapy dramatically resolves both clinical and radiological findings. We report a case of a patient 55 years old, initially managed as cavernous sinus thrombophlebitis, and by means of magnetic resonance imaging studies, was then diagnosed as Tolosa-Hunt syndrome. After receiving adequate therapy, clinical symptoms improved. We recommend serial magnetic resonance imaging studies when Tolosa-Hunt syndrome is suspected in order to differentiate it from other cavernous sinus lesions that can mimic it clinically and radiologically.

 

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Palabras clave: Corticoides, Oftamoplejía dolorosa, resonancia magnética, Seno cavernoso, Síndrome de Tolosa-Hunt,

Keywords: Cavernous sinus, Corticosteroid treatment, magnetic resonance imaging, Painful ophthalmoplegia, Tolosa-Hunt syndrome,
 
 
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