Case Reports
Tolosa-Hunt syndrome; a diagnosis of exclusion: a case report
Authors:
D. S. Satharasinghe ,
University of Colombo, LK
About D. S.
Postgraduate Institute of Medicine
S. C. Weerasinghe,
Teaching Hospital, Anuradhapura, LK
About S. C.
Department of Neurology
H. M. S. Senanayake,
Rajarata University of Sri Lanka, LK
About H. M. S.
Department of Medicine, Faculty of Medicine and Allied Sciences
N. Lokunarangoda,
Rajarata University of Sri Lanka, LK
About N.
Department of Medicine, Faculty of Medicine and Allied Sciences
P. Weerawansa
Rajarata University of Sri Lanka, LK
About P.
Department of Medicine, Faculty of Medicine and Allied Sciences
Abstract
Tolosa-Hunt Syndrome is a rare cause of unilateral headache with painful ophthalmoplegia. Only a limited number of cases are reported in the literature. We present a case of Tolosa-Hunt syndrome in a middle-aged male who presented to Teaching Hospital Anuradhapura.
A previously well, hypertensive gentleman presented with gradual onset right-sided headache and diplopia for five days duration. On examination, there were right-sided palsies of right-sided cranial nerves III, IV, V-1, VI on examination. Magnetic Resonance Imaging (MRI) of the brain with contrast was unremarkable. The patient was treated with steroids after excluding other possible causations of painful ophthalmoplegia. He was started on steroids, to which a dramatic response was observed.
Tolosa-Hunt syndrome responds well to steroid therapy even though there is no proven benefit of steroids to reduce recurrence rates. Careful evaluation needs to be carried out to rule out other possible causes of similar clinical and radiological features as they may be masked by steroid therapy.
How to Cite:
Satharasinghe, D.S., Weerasinghe, S.C., Senanayake, H.M.S., Lokunarangoda, N. and Weerawansa, P., 2021. Tolosa-Hunt syndrome; a diagnosis of exclusion: a case report. Anuradhapura Medical Journal, 15(1), pp.15–18. DOI: http://doi.org/10.4038/amj.v15i1.7667
Published on
19 Aug 2021.
Peer Reviewed
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