MRI in Tolosa-Hunt syndrome associated with facial nerve palsy.
A 44-year-old woman developed a severe right frontotemporal headache, retro-orbital pain, and, later, diplopia owing to right sixth nerve palsy. The brain MRI demonstrated strong enhancement of the right cavernous sinus. The sixth nerve palsy and headache improved with steroid therapy after 6 weeks. At that time, she suffered right peripheral facial nerve palsy. Enhancement of the distal canalicular and labyrinthic segment of the right facial nerve was found on contrast-enhanced MRI. To our knowledge, this is a very rare case of Tolosa-Hunt syndrome with facial nerve palsy, with simultaneous enhancement of the cavernous sinus and facial nerve on contrast-enhanced MRI.
Department of Neurology, Gyeongsang Institute of Health Sciences, Gyeongsang National University College of Medicine, Chiram-dong, Jinju, Korea.
Heeyoung
H
Kang
Ki-Jong
KJ
Park
Seungnam
S
Son
Dae Seob
DS
Choi
Jae Wook
JW
Ryoo
Oh-Young
OY
Kwon
Nack-Cheon
NC
Choi
Byeong Hoon
BH
Lim
D000328:Adult; D002426:Cavernous Sinus / Q000473:pathology; D003937:Diagnosis, Differential; D005155:Facial Nerve Diseases / Q000150:complications*; D005158:Facial Paralysis / Q000150:complications*; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D020333:Tolosa-Hunt Syndrome / Q000150:complications / Q000175:diagnosis*