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Tolosa hunt syndrome
Tolosa hunt syndrome
by Alike Medical Team ∙ Updated on June 13, 2023
General
A Tolosa-Hunt syndrome is an episodic pain of the orbit associated with paralysis of one or more of the third, fourth, and/or sixth cranial nerves. It usually resolves spontaneously, but can relapse.
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Signs & symptoms
Tolosa-Hunt syndrome is characterized by painful ophthalmoparesis (muscle paresis of the eye) or ophthalmoplegia (muscle pain of the eye). Patients may complain of double vision, headaches, dizziness, nausea, neck stiffness, photophobia, blurred vision, and a "boring" pain associated with the headache.
Diagnosis
A MRI or MRA provides more detailed information about the cavernous sinus and orbital apex than a CT. An MRI may provide details about granulomatous inflammation, assisting in the diagnosis of Tolosa-Hunt syndrome. However, these results may not be reliable. Additionally, biopsy can be used to demonstrate granulomatous inflammation, but it may be more difficult.
Treatment
The mainstay of treatment is oral steroids.
Note
☝ We provide information on prescription and over-the-counter medicines, diagnosis, procedures and lab tests. This material is provided for educational purposes only and is not medical advice, diagnosis or treatment.
National Institutes of Health ∙ World Health Organization ∙ MedlinePluse ∙ Centers for Disease Control and Prevention
☝ All information has been reviewed by certified physicians from Alike
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