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The tolosa hunt syndrome



The tolosa hunt syndrome



Fortschritte der Neurologie Psychiatrie und Ihrer Grenzgebiete 45(8): 429-440



Two patients with the Tolosa-Hunt syndrome were reported and 70 other cases reported in the literature were reviewed. Common findings of this syndrome were the recurring painful ophthalmoplegia affecting the 3rd, 4th and 6th cranial nerve and the 1st branch of the 5th and the optic nerve. No ethiologic factor was found, but the syndrome was regarded as a nonspecific inflammation in the area of the sinus cavernosus and adjacent orbital bone. Residual defects in about 1/3 of affected persons was the normal course of the disease. Early diagnosis and initiation of steroid therapy resulted in quick relief of pain and may influence prognosis. Elaborate examinations were not helpful but may be necessary to rule out similar diseases.

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Accession: 006780697

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PMID: 242544


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