Case Report

Tolosa-Hunt syndrome

Benjamin Wybrand Barnard
South African Journal of Radiology | Vol 16, No 1 | a225 | DOI: | © 2012 Benjamin Wybrand Barnard | This work is licensed under CC Attribution 4.0
Submitted: 24 February 2012 | Published: 07 February 2012

About the author(s)

Benjamin Wybrand Barnard,, South Africa


Tolosa-Hunt syndrome (THS) is a rare disorder indicated by recurrent painful ophthalmoplegia caused by non-specific inflammation of the cavernous sinus or superior orbital fissure (SOF). The disease shares histopathological features with idiopathic orbital pseudotumour; however, owing to its anatomical location, it produces characteristic clinical manifestations.1 Recurrent retro-orbital pain, with palsies of the third, fourth or sixth cranial nerves as well as the first and second divisions of the trigeminal nerve, are typical. Clinically, immediate response to steroid therapy is a hallmark of the condition. The clinical presentation of THS has a wide differential diagnosis, and timely and appropriate imaging – as an adjunct to pertinent laboratory investigations – can greatly assist clinicians with early accurate diagnosis and management.


Tolosa-Hunt Syndrome


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Crossref Citations

1. A Rare Case of Tolosa-Hunt-Like Syndrome in a Poorly Controlled Diabetes Mellitus
Glenmore Lasam, Sakshi Kapur
Case Reports in Medicine  vol: 2016  first page: 1  year: 2016  
doi: 10.1155/2016/9763621