[Painful ophthalmoplegia (pseudotumor of the orbit and Tolosa-Hunt syndrome)].
BACKGROUND
The Tolosa-Hunt Syndrome (THS) and the Pseudotumor of the Orbit (PTO) each have three common clinical hallmarks: unilateral periorbital pain, cranial nerve palsies and a fast response to corticosteroid therapy.


METHODS
48-year-old female with a right VI nerve paralysis, later develops a right III nerve paralysis. It is important to be able to differentiate between THS and PTO, and this is done on the basis of the complementary tests.


CONCLUSIONS
Apart from neuroradiologic findings, the clinical presentation and histopathology of these two conditions are very similar, making it difficult to distinguish between them. Aspects common to both pathological processes are discussed.
Mora-de-Oñate
J
J
Departamento de Oftalmología, Hospital Universitario de Getafe, Madrid, España. javimora79@hotmail.com
Pascual-Pérez-Alfaro
R
R
Izquierdo-Vázquez
C
C
González-Ruiz
M
M
Aguirrebeña-Olmos
A
A
Díez-Villalba
R
R
D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D008279:Magnetic Resonance Imaging; D008775:Methylprednisolone / Q000008:administration & dosage / Q000627:therapeutic use; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000209:etiology*; D016727:Orbital Pseudotumor / Q000175:diagnosis / Q000188:drug therapy; D011241:Prednisone / Q000008:administration & dosage / Q000627:therapeutic use; D013997:Time Factors; D020333:Tolosa-Hunt Syndrome / Q000175:diagnosis*; D016896:Treatment Outcome
D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids; D011241:Prednisone; D008775:Methylprednisolone