Tolosa-Hunt syndrome: analysis of six cases

Tolosa-Hunt syndrome is an entity of rare occurrence and unknown etiopathogenesis, expressed clinically by unilateral orbitary pain associated with simple or multiple oculomotor paralysis, which resolves spontaneously but may recur. We present a series of six cases taken care in our ambulatory, whic...

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Bibliographic Details
Published in:Arquivos de neuro-psiquiatria 2005-09, Vol.63 (3A), p.648-651
Main Authors: Monzillo, Paulo Hélio, Saab, Victor Marçal, Protti, Gustavo Guimarães, Costa, Agnaldo Rodrigues da, Sanvito, Wilson Luiz
Format: Article
Language:eng ; por
Subjects:
Adult
Diagnosis, Differential
Female
Follow-Up Studies
Glucocorticoids - therapeutic use
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Ophthalmoplegia - diagnosis
Pain - etiology
Prednisolone - therapeutic use
Prospective Studies
Tolosa-Hunt Syndrome - diagnosis
Tolosa-Hunt Syndrome - drug therapy
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Summary:Tolosa-Hunt syndrome is an entity of rare occurrence and unknown etiopathogenesis, expressed clinically by unilateral orbitary pain associated with simple or multiple oculomotor paralysis, which resolves spontaneously but may recur. We present a series of six cases taken care in our ambulatory, which fulfill the diagnostic criteria for Tolosa Hunt syndrome according to the International Headache Society Classification of 2004. There are also emphasized the demographic data of this series of patients, their 12 months follow-up, investigative studies and responsiveness to corticosteroids. As the diagnosis is always of exclusion, literature revision is focused on differential diagnosis of painful ophthalmoplegic syndromes.
ISSN:0004-282X
DOI:10.1590/S0004-282X2005000400017