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Year : 2020  |  Volume : 9  |  Issue : 4  |  Page : 259-263

The Tolosa-Hunt syndrome-Role of MR imaging

Departments of Radiology and Neurology, ESIC Superspeciality Hospital, Sanathnagar, Hyderabad, Telangana, India

Correspondence Address:
Dr. Anurudh Kishore Vatti
ESIC Superspeciality Hospital, Sanathnagar, Hyderabad, Telangana
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Source of Support: None, Conflict of Interest: None


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Tolosa–Hunt syndrome (THS) is a painful ophthalmoplegia due to nonspecific inflammation in the cavernous sinus (CS) and superior orbital fissure/orbital? apex. Diagnosis is based on clinical manifestations, magnetic resonance imaging (MRI) findings, rapid response to steroids, and exclusion of other causes of CS involvement. Our case report is regarding a 48-year-old female presenting with unilateral orbital pain, restricted ocular movements, and ptosis. The clinical presentation can be a pointer to several conditions of the CS and a correct diagnosis is a must to institute appropriate early management. This case is to emphasize the role of contrast-enhanced magnetic resonance imaging in the diagnosis of this condition and prompt clinical response to steroid therapy. This condition may be sight-threatening if untreated inflammation extends beyond CS to affect the optic nerve.

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