The Tolosa Hunt Syndrome
This rather rare clinical condition was first clearly defined by Hunt et al. (1961) who also re-described the pathology of Tolosa’s case (1954). The condition is best described as retro-orbital pseudotumour producing, because of its different location, a different set of signs and symptoms to orbital pseudotumour, namely painful ophthalmoplegia in a white eye. Neurological involvement is not confined necessarily to the third cranial nerve, the fourth, fifth and sixth as well as the optic nerve and the oculo sympathetic fibres may be involved. Investigations suggest only involvement of the cavernous sinus. Spontaneous resolution and occasional recurrences are usual.
KeywordsHerpes Zoster Cavernous Sinus Giant Cell Arteritis Systemic Steroid Pituitary Apoplexy
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