Tolosa-Hunt syndrome - a case report
Tolosa-Hunt syndrome - a case report

Summary/Abstract: Aim: Tolosa-Hunt syndrome is not common and must be considered in a differential diagnosis after other diagnoses have been excluded. It is usually idiopathic and is believed to be caused by a non-specific inflammation in the cavernous sinus or orbital cleft. A potential trigger may be a traumatic injury to an area, a tumour, or an aneurysm. Case report: The 69-year-old patient came in for right eye pain. He was then re-examined for escalating pain with subsequent diplopia and ptosis at the Department of Ophthalmology, Faculty of Medicine, Comenius University and University Hospital Bratislava admitted to the Department of Neurology, Slovak Medical University and University Hospital Bratislava, where a partial lesion n. oculomotorius right was diagnosed. After magnetic resonance imaging and examinations, the disease was classified as TolosaHunt syndrome. A high dose of prednisone 100 mg daily was administered orally, after which the condition of the patient improved significantly. Conclusion: Tolosa-Hunt syndrome is not common. It is necessary first to make a differential diagnosis and only after excluding other diagnoses we can talk about TolosaHunt syndrome. Therefore, close interdisciplinary cooperation is needed to detect and diagnose the syndrome. Since we do not encounter this on a daily basis, it is necessary to point out the given syndrome, which we often do not even have to think about and cannot diagnose the syndrome.

• Details
• Contents