Atormac
brintellex
Neurology India
menu-bar5 Open access journal indexed with Index Medicus
  Users online: 1346  
 Home | Login 
About Editorial board Articlesmenu-bullet NSI Publicationsmenu-bullet Search Instructions Online Submission Subscribe Videos Etcetera Contact
  Navigate Here 
 Search
 
  » Next article
  » Previous article 
  » Table of Contents
  
 Resource Links
  »  Similar in PUBMED
 »  Search Pubmed for
 »  Search in Google Scholar for
  »  Article in PDF (120 KB)
  »  Citation Manager
  »  Access Statistics
  »  Reader Comments
  »  Email Alert *
  »  Add to My List *
* Registration required (free)  


  In this Article
 »  References

 Article Access Statistics
    Viewed7601    
    Printed282    
    Emailed11    
    PDF Downloaded378    
    Comments [Add]    
    Cited by others 3    

Recommend this journal

   
NEUROIMAGE
Year : 2003  |  Volume : 51  |  Issue : 1  |  Page : 137

Tolosa-Hunt syndrome: MRI before and after treatment


Department of Child Health (Neurology), Sultan Qaboos University Hospital

Correspondence Address:
Department of Child Health (Neurology), Sultan Qaboos University Hospital



How to cite this article:
Koul R, Jain R. Tolosa-Hunt syndrome: MRI before and after treatment . Neurol India 2003;51:137


How to cite this URL:
Koul R, Jain R. Tolosa-Hunt syndrome: MRI before and after treatment . Neurol India [serial online] 2003 [cited 2020 Dec 2];51:137. Available from: https://www.neurologyindia.com/text.asp?2003/51/1/137/1075


Contrast enhanced MRI of the brain revealed expansion of the right cavernous sinus due to an enhancing soft-tissue mass, engulfing and narrowing the intracavernous segment of the right internal carotid artery [Figure:1a] & [Figure:1b].
The child was started on oral Prednisolone 1 mg/kg/day. His headache resolved within 72 hours. The 6th nerve paralysis took 3 weeks to recover completely. Follow-up MRI after 6 weeks showed complete resolution of the abnormality [Figure - 2]. ESR at follow­up was 11 mm/ lst hour.
Tolosa-Hunt syndrome[1] is rare in children and is usually misdiagnosed as migraine which may not be so in adults.[2],[3] The condition is thought to be a non-specific inflammatory pseudotumor of the cavernous sinus. The most radiological differential diagnosis is from a cavernous sinus meningioma. The Tolosa-Hunt syndrome should be considered in severe and continuous headache with cranial nerve involvement (3rd, 5th and 6th) in children. MRI is the most important investigation and is diagnostic of the condition. 

 » References Top

1.Kline LB, Hoyt AT. The Tolosa-Hunt Syndrome. J Neurol Neurosurg Psychiatry 2001;71:577-82.   Back to cited text no. 1    
2.del Toro M, Macaya A, Vazquez E, Riog M. Painful ophthalmoplegia with reversible carotid stenosis in a child. Pediatr Neurol 2001;24:317-9.  Back to cited text no. 2    
3.Bruyn GW, Ferrari M, deBeer FC. Migraine, Tolosa-Hunt syndrome and pleocytosis. Correlation or coincidence? Clin Neurol Neurosurg 1984;86:33-41.  Back to cited text no. 3    

 

Top
Print this article  Email this article
Previous article Next article
Online since 20th March '04
Published by Wolters Kluwer - Medknow