title: [Painful ophthalmoplegia of Tolosa-Hunt syndrome. 4 Nigerian cases].
abstract: The Tolosa-Hunt syndrome is a painful ophthalmoplegia in relation with a granulomatous lesion of the cavernous sinus of obscure etiology. The authors report 4 cases diagnosed at National Hospital of Niamey (Republic of Niger). They were 3 men and one woman. The unilateral retro-orbital cephalalgia was constant. Three patients had left oculomotor and abducens nerves' palsies and one only left trochlear nerve's palsy. In three cases the therapeutic efficacy of systemic corticosteroids was dramatic with complete remission of clinical signs. In a fourth case, chlorambucil was used with complete recovery.
authors.affiliation: Service de Médecine Interne, Hôpital National et Faculté des Sciences de la Santé, Niamey Niger.
authors.forename: A
authors.initials: A
authors.lastname: Cenac
authors.forename: A
authors.initials: A
authors.lastname: Touta
authors.forename: A
authors.initials: A
authors.lastname: Kabo
authors.forename: D
authors.initials: D
authors.lastname: Pintart
authors.forename: M
authors.initials: M
authors.lastname: Develoux
mesh_terms: D000010:Abducens Nerve / Q000473:pathology; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009548:Niger; D015840:Oculomotor Nerve Diseases / Q000473:pathology; D009886:Ophthalmoplegia / Q000473:pathology; D010146:Pain; D010243:Paralysis / Q000473:pathology
vernacular_title: Ophtalmoplegie douloureuse de Tolosa-Hunt. Quatre cas Nigeriens.