[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, 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.
Monzillo
Paulo Hélio
PH
Santa Casa de São Paulo, São Paulo, SP, Brazil. monzillo@einstein.br
Saab
Victor Marçal
VM
Protti
Gustavo Guimarães
GG
Costa
Agnaldo Rodrigues da
AR
Sanvito
Wilson Luiz
WL
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000175:diagnosis*; D010146:Pain / Q000209:etiology; D011239:Prednisolone / Q000627:therapeutic use; D011446:Prospective Studies; D020333:Tolosa-Hunt Syndrome / Q000175:diagnosis* / Q000188:drug therapy
D005938:Glucocorticoids; D011239:Prednisolone