Tolosa-Hunt syndrome masquerading as a carotid artery dissection

Elise J Taylor,1 Ursula M Anders,1 Joseph R Martel,1–4 James B Martel1–4 1Research Center, Martel Eye Medical Group, Rancho Cordova, 2Graduate Medical Education, California Northstate University College of Medicine, Elk Grove, 3Department of Ophthalmology, Sutter Medical Health...

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Autores principales:	Taylor EJ, Anders UM, Martel JR, Martel JB
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/86b8bc20ad7d4de8b8b84011e286cd1f
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spelling	oai:doaj.org-article:86b8bc20ad7d4de8b8b84011e286cd1f2021-12-02T01:47:04ZTolosa-Hunt syndrome masquerading as a carotid artery dissection1177-5483https://doaj.org/article/86b8bc20ad7d4de8b8b84011e286cd1f2014-04-01T00:00:00Zhttp://www.dovepress.com/tolosa-hunt-syndrome-masquerading-as-a-carotid-artery-dissection-a16371https://doaj.org/toc/1177-5483 Elise J Taylor,1 Ursula M Anders,1 Joseph R Martel,1–4 James B Martel1–4 1Research Center, Martel Eye Medical Group, Rancho Cordova, 2Graduate Medical Education, California Northstate University College of Medicine, Elk Grove, 3Department of Ophthalmology, Sutter Medical Health, Sacramento, 4Department of Ophthalmology, Dignity Health, Carmichael, CA, USA Purpose: To demonstrate the difficulties of diagnosing a patient with Tolosa-Hunt syndrome (THS) due to its complicated presentation and extensive diagnostic testing, and how to manage the treatment of a patient in an emergent setting. Patients and methods: A female patient with THS affecting the left eye was examined using two magnetic resonance imaging (MRI) scans. The patient was treated with high-dose methylprednisolone (Solu-Medrol®) and prednisone. A follow-up MRI and magnetic resonance angiogram (MRA) was also performed 4 months later. Results: The second MRI scan disclosed a 5x9x10 mm lesion in the left superior orbital fissure/cavernous sinus. After administration of methylprednisolone and prednisone, the patient’s pain completely resolved, and the left eye regained full duction and eyelid mobility. The MRI and MRA obtained after the treatment showed no abnormalities. Conclusion: The rarity of THS makes it difficult to diagnose, especially when there is a question of accuracy and reproducibility of the testing performed. An ophthalmologic consultation in such cases is crucial. Keywords: granulomatous lesion, painful ophthalmoplegia, idiopathic orbital inflammation, multiple cranial nerve palsies  Taylor EJAnders UMMartel JRMartel JBDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 707-710 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Taylor EJ Anders UM Martel JR Martel JB Tolosa-Hunt syndrome masquerading as a carotid artery dissection
description	Elise J Taylor,1 Ursula M Anders,1 Joseph R Martel,1–4 James B Martel1–4 1Research Center, Martel Eye Medical Group, Rancho Cordova, 2Graduate Medical Education, California Northstate University College of Medicine, Elk Grove, 3Department of Ophthalmology, Sutter Medical Health, Sacramento, 4Department of Ophthalmology, Dignity Health, Carmichael, CA, USA Purpose: To demonstrate the difficulties of diagnosing a patient with Tolosa-Hunt syndrome (THS) due to its complicated presentation and extensive diagnostic testing, and how to manage the treatment of a patient in an emergent setting. Patients and methods: A female patient with THS affecting the left eye was examined using two magnetic resonance imaging (MRI) scans. The patient was treated with high-dose methylprednisolone (Solu-Medrol®) and prednisone. A follow-up MRI and magnetic resonance angiogram (MRA) was also performed 4 months later. Results: The second MRI scan disclosed a 5x9x10 mm lesion in the left superior orbital fissure/cavernous sinus. After administration of methylprednisolone and prednisone, the patient’s pain completely resolved, and the left eye regained full duction and eyelid mobility. The MRI and MRA obtained after the treatment showed no abnormalities. Conclusion: The rarity of THS makes it difficult to diagnose, especially when there is a question of accuracy and reproducibility of the testing performed. An ophthalmologic consultation in such cases is crucial. Keywords: granulomatous lesion, painful ophthalmoplegia, idiopathic orbital inflammation, multiple cranial nerve palsies
format	article
author	Taylor EJ Anders UM Martel JR Martel JB
author_facet	Taylor EJ Anders UM Martel JR Martel JB
author_sort	Taylor EJ
title	Tolosa-Hunt syndrome masquerading as a carotid artery dissection
title_short	Tolosa-Hunt syndrome masquerading as a carotid artery dissection
title_full	Tolosa-Hunt syndrome masquerading as a carotid artery dissection
title_fullStr	Tolosa-Hunt syndrome masquerading as a carotid artery dissection
title_full_unstemmed	Tolosa-Hunt syndrome masquerading as a carotid artery dissection
title_sort	tolosa-hunt syndrome masquerading as a carotid artery dissection
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/86b8bc20ad7d4de8b8b84011e286cd1f
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Tolosa-Hunt syndrome masquerading as a carotid artery dissection

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