Painful ophthalmoplegia: a case of Tolosa-Hunt syndrome.
Unilateral painful opthalmoplegia involving the third, fourth, or sixth cranial nerve in association with a retro-orbital mass should be evaluated for rheumatologic conditions and malignancy. The assessment may require a biopsy of the mass. Once cancer and autoimmune conditions such as sarcoidosis have been ruled out, Tolosa-Hunt should be considered. Tolosa-Hunt is a rare condition that presents as an acute unilateral eye pain with motor dysfunction and responds to prolonged treatment with corticosteroids. Presented is a case of Tolosa-Hunt syndrome.
3D Marine Division, HQBN, Unit 35840, FPO AP 96382.
Mohenish K
MK
Singh
Naval Hospital Jacksonville, 2080 Child Street, NAS Jacksonville, Jacksonville, FL 32214.
Brittany
B
Marshall
Naval Hospital Jacksonville, 2080 Child Street, NAS Jacksonville, Jacksonville, FL 32214.
John
J
Hawley
D020434:Abducens Nerve Diseases / Q000175:diagnosis; D000328:Adult; D003937:Diagnosis, Differential; D005094:Exophthalmos / Q000175:diagnosis; D006801:Humans; D008297:Male; D009886:Ophthalmoplegia / Q000175:diagnosis*; D010243:Paralysis / Q000175:diagnosis; D020333:Tolosa-Hunt Syndrome / Q000175:diagnosis*; D020433:Trigeminal Nerve Diseases / Q000175:diagnosis