title: Gamma Knife radiosurgery in steroid-intolerant Tolosa-Hunt syndrome: case report.
abstract: Tolosa-Hunt syndrome is a rare cause of painful ophthalmoplegia due to idiopathic chronic granulomatous inflammation in the cavernous sinus. Usually clinical manifestations are well controlled by corticosteroid therapy, but steroid dependency or resistance is common. We report a case of marked improvement of Tolosa-Hunt syndrome without symptom relapse after Gamma Knife radiosurgery in a patient with steroid intolerance.
authors.affiliation: Department of Neurosurgery, Research Institute of Clinical Medicine, Institute for Medical Science, Chonbuk National University Medical School and Hospital, Jeonju, Korea.
authors.forename: Jong-Myong
authors.initials: JM
authors.lastname: Lee
authors.affiliation: Department of Neurosurgery, Research Institute of Clinical Medicine, Institute for Medical Science, Chonbuk National University Medical School and Hospital, Jeonju, Korea. rollingstone12@hanmail.net.|Department of Neurosurgery, Chonbuk National University Medical School/Hospital, Geumam-dong, Deokjin-gu, Jeonju, 561-712, Korea. rollingstone12@hanmail.net.
authors.forename: Jung-Soo
authors.initials: JS
authors.lastname: Park
authors.affiliation: Department of Neurosurgery, Research Institute of Clinical Medicine, Institute for Medical Science, Chonbuk National University Medical School and Hospital, Jeonju, Korea.
authors.forename: Eun-Jeong
authors.initials: EJ
authors.lastname: Koh
mesh_terms: D000305:Adrenal Cortex Hormones / Q000009:adverse effects; D004351:Drug Resistance; D005260:Female; D006801:Humans; D008875:Middle Aged; D016634:Radiosurgery / Q000379:methods*; D020333:Tolosa-Hunt Syndrome / Q000601:surgery*
chemical_list: D000305:Adrenal Cortex Hormones
keywords: Corticosteroid; Gamma Knife radiosurgery; Tolosa-Hunt syndrome