Two Tolosa-Hunt Syndrome Accompanied By Peripheral Fasial Nerve Paralysis

Aylin Akçalı; Remzi Yiğiter; Ahmet Mete; Mustafa Yılmaz; Münife Neyal

doi:10.58600/eurjther.2010-16-1-1322-arch

Authors

Aylin Akçalı Gaziantep Üniversitesi Tıp Fakültesi, Nöroloji AD
Remzi Yiğiter Gaziantep Üniversitesi Tıp Fakültesi, Nöroloji AD
Ahmet Mete Gaziantep Üniversitesi Tıp Fakültesi, Radyoloji AD
Mustafa Yılmaz Gaziantep Üniversitesi Tıp Fakültesi, Nöroloji AD
Münife Neyal Gaziantep Üniversitesi Tıp Fakültesi, Nöroloji AD

DOI:

https://doi.org/10.58600/eurjther.2010-16-1-1322-arch

Keywords:

Tolosa-Hunt syndrome, Perpheral fasial paralysis, MRI

Abstract

Tolosa-Hunt syndrome is characterized of a painful ophthalmoplegia and is usually markedly responsive to corticosteroid therapy. In 2004 the re-defined diagnostic criteria of Tolosa-Hunt syndrome by International Headache Society the imaging findings have very important place. Cranial imaging demonstrates the contrast enhancement of cavernous sinus and orbital apex related to inflammation. We represented two case reports of Tolosa-Hunt syndrome. The cranial nerve involvement of 3., 4., 6., and first and the second branches of 5. were observed in both cases. One week later left peripheral facial nerve paralysis is added to the clinic in one of the cases. After excluding other diagnosis IV pulse steroid therapy is given and had fine response.

Metrics

Metrics Loading ...

References

Kang H, Park KJ, Son S, Choi DS, Ryoo JW, Kwon OY, et al. MRI in Tolosa-Hunt syndrome associated with facial nerve palsy. Headache. 2006;46 336-9.

Vallat JM, Vallat M, Julien J, Dumas M, Dany A. Painful ophthalmoplegia (Tolosa-Hunt) accompanied by peripheral facial paralysis. Ann Neurol. 1980;8 645-46.

Colnaghi S, Versino M, Marchioni E, Pichiecchio A, Bastianello S, Cosi V, et al. ICHD-II diagnostic criteria for Tolosa-Hunt syndrome in idiopathicinflammatory syndromes of the orbit and/or the cavernous sinus. Cephalalgia. 2008;28 577-84.

Schramm P, Hahnel S. Tolosa-Hunt syndrome-a differential neuroradiologic diagnosis? Rofo. 2001;173 962-4.

Foubert-Samier A, Sibon I, Maire JP, Tison F. Long- term cure of Tolosa-Hunt syndrome after low-dose focal radiotherapy. Headache. 2005;45 389-91.

Arcaya AA, Cerezal L, Canga A, Polo JM, Berciano J, Pascual J. Neuroimaging diagnosis of Tolosa-Hunt syndrome MRI contribution. Headache. 1999;39 321- 5.

Kline LB, Hoyt WF. The Tolosa-Hunt syndrome. J Neurol Neurosurg Psychiatry. 2001;71 577-82.

Topçular B, Özcan M, Esenkaya Ö, Kırbaş D. İdiopatik Tolosa-Hunt Sendromu Bir Olgu Sunumu. Nöro Psikiyatri Arşivi. 2007;44 152-53.

La Mantia L, Curone M, Rapoport AM, Bussone G. International Headache Society.Tolosa-Hunt syndrome critical literature review based on IHS 2004 criteria. Cephalalgia. 2006;26 772-81.

Gencer M, Türkoğlu R, Çetinkaya Y, Tutkavul K, Yüksel G, Tireli H. Üç Tolosa-Hunt sendromu olgusu Klinik seyir ve MRG takipleri. Nöro Psikiyatri Arşivi. 2002;39 108-12.

O' Connor G, Hutchinson M. Tolosa-Hunt syndrome responsive to infliximab therapy. J Neurol. 2009;256 660- 1.

Hatton MP, Rubin PA, Foster CS. Successful treatment of idiopathic orbital inflammation with mycophenolate mofetil. Am J Ophthalmol. 2005;140 916-8.

Smith JR, Rosenbaum JT. A role for methotrexate in the management of non-infectious orbital inflammatory disease. Br J Ophthalmol. 2001;85 1220-4.

Colnaghi S, Pichiecchio A, Bastianello S, Versino M. SPIR MRI usefulness for steroid treatment management in Tolosa-Hunt syndrome. Neurol Sci. 2006;27 137-9.