12 July 2010

Tolosa-Hunt Syndrome

Tolosa-Hunt syndrome is clinically a painful ophthalmoplegia cused by inflammatory lesion of the cavernous sinus that is steroid responsive. Pathologically this process is similar to orbital pseudotumor. Above axial non contrast enhanced and axial, coronal and sagittal contrast enhanced CT shows a lesion extending from the cavernous sinus into the orbit through the superior orbital fissure. According to the literature CT is often normal. This case however proves value of the CT. MR is the investigation of choice in order to exclude other pathology in this region. See below reconstruced images.

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