+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The evaluation of ICHD-3 beta diagnostic criteria for Tolosa-Hunt syndrome: a study of 22 cases of Tolosa-Hunt syndrome

The evaluation of ICHD-3 beta diagnostic criteria for Tolosa-Hunt syndrome: a study of 22 cases of Tolosa-Hunt syndrome

Neurological Sciences 36(6): 899-905

The objective of the study was to evaluate the amended International Classification of Headache Disorders (third edition, beta version, ICHD-3 beta) with a retrospective analysis. A total of 22 patients diagnosed with painful ophthalmoplegia and Tolosa-Hunt syndrome (THS) in our hospital were retrospectively studied. The following clinical data were collected: symptoms, signs, location of inflammatory tissue, time interval of paresis following the onset of pain, pain and signs of resolution, follow-up and relapse. Pain and diplopia were found in 22 (100 %) and 20 cases (91 %). The sympathetic nerve was involved in 6 cases (27 %). Paresis followed the pain for an average of 8 ± 5.87 days. Serial magnetic resonance imaging (MRI) revealed granulomatous lesion that was visible in 20 patients (91 %). 19 patients (86 %) demonstrated the lesions located in the cavernous sinus, orbital apex or superior orbital fissure. One lesion extended to the intracranial structure. Pain was relieved in 20 cases (91 %) within 72 h and no patient had complete relief from paresis. According to our study, we think the time course of relief should be undefined. Headache location is hard to describe accurately. Normal MRI should be involved in THS diagnoses. The lesion of THS can extend beyond the cavernous sinus and the orbit. The time interval between headache and paresis can exceed 2 weeks.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 059067063

Download citation: RISBibTeXText

PMID: 25736249

DOI: 10.1007/s10072-015-2124-2

Related references

Validation of ICHD-3 beta diagnostic criteria for 13.7 Tolosa-Hunt syndrome: Analysis of 77 cases of painful ophthalmoplegia. Cephalalgia 34(8): 624-632, 2014

Corrections to "Validation of ICHD-3 beta diagnostic criteria for 13.7 Tolosa-Hunt syndrome: analysis of 77 cases of painful ophthalmoplegia". Cephalalgia 35(3): 285, 2015

Tolosa-Hunt Syndrome: Appraising the ICHD-3 beta diagnostic criteria. Cephalalgia 38(10): 1696-1700, 2018

ICHD-II diagnostic criteria for Tolosa-Hunt syndrome in idiopathic inflammatory syndromes of the orbit and/or the cavernous sinus. Cephalalgia 28(6): 577-584, 2008

Painful ophtalmoplegia in children: Tolosa-Hunt syndrome or ophtalmoplegic migraine? FT Les ophtalmoplegies douloureuses de lenfant: place du syndrome de Tolosa-Hunt et de la migraine ophtalmoplegique. 2007

Aseptic venous thrombosis or tolosa hunt syndrome discussion of diagnostic criteria with reference to 12 personal cases. Orbital Cent Amsterdam Univ Eye Hosp Et Al. Proceedings Of The 3rd International Symposium On Orbital Disorders. Amsterdam, The Netherlands, Sept. 5-7, . Xviii 546p. Illus. Dr. W. Junk Bv Publishers: The Hague, The Netherlands; Boston, Mass., Usa. ISBN 90-6193-570-9: 392-397, 1978

Three cases of tolosa hunt syndrome nosologic and diagnostic problems. Bollettino di Oculistica 69(5): 867-876, 1990

Painful ophthalmoplegia - Tolosa-Hunt syndrome FT Bolna oftalmoplegija - Tolosa-Huntov sindrom. 2007

Orbital phlebography evaluation in 8 cases of Tolosa-Hunt syndrome. Arquivos de Neuro-Psiquiatria 52(2): 231-236, 1994

Tolosa-Hunt syndrome: analysis of 24 cases. Journal of the Medical Association of Thailand 71(7): 366-372, 1988

Tolosa hunt syndrome report of 8 cases. Bulletin of Hunan Medical College 11(2): 160-162, 1986

The tolosa-hunt syndrome: report of two cases. Neurochirurgia 19(5): 227-231, 1976

The Tolosa-Hunt syndrome (apropos of 2 cases). Bulletin des Societes d'Ophtalmologie de France 76(11): 999, 1976

Tolosa-Hunt syndrome. Observations in 11 cases. Rivista di Neurologia 55(3): 161-168, 1985

Tolosa-Hunt syndrome: analysis of six cases. Arquivos de Neuro-Psiquiatria 63(3a): 648-651, 2005