Tolosa Hunt syndrome

Case contributed by Dr G Balachandran

Presentation

A young pregnant woman presented with acute onset of pain in the left orbit with multiple cranial palsies involving III, IV, V, VI cranial nerves.

Patient Data

Age: Child-bearing age
Gender: Female
Modality: MRI

Isointense left cavernous sinus mass partially encasing internal carotid artery.

Case Discussion

MRI was done with and without contrast agent. There was a 9 x 4 mm isointense lesion inside the left cavernous sinus, partially encasing the left internal carotid artery. The cavernous sinus on the left side was enlarged and the lesion showed mild contrast enhancement. MR angiography was also done to rule out aneurysm. Thus the clinical diagnosis of Tolosa Hunt syndrome was confirmed. After steroid treatment the patient showed dramatic improvement.

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Case Information

rID: 10627
Case created: 27th Aug 2010
Last edited: 13th Oct 2015
Inclusion in quiz mode: Included

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