The Tolosa Hunt Syndrome

  • P. Dwyer Jones
  • P. Eustace
  • J. Toland
Conference paper

Abstract

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.

Keywords

Migraine Neurol Hunt Prednisolone Cholangitis 

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References

  1. Hunt, W.E., J.N. Meagher, H.E. Lefever & W. Freman. Painful ophthalmoplegia, its relationship to indolent inflammation of the cavernous sinus. Neurology 11: 56–62 (1961).PubMedGoogle Scholar
  2. Levy, T.S., J.E. Wright & G.A.S. Lloyd. Orbital and retro-orbital pseudotumors. pp. 364–367, in: Modern Problems in Ophthalmology, Vol. 14 (1975).PubMedGoogle Scholar
  3. Tolosa, E. Periarteritic lesion of the cavernous sinus with clinical features of carotid infraclinoid aneurysm. J. Neurol. Neurosurg. Psychiat. 17: 300–302 (1954).PubMedCrossRefGoogle Scholar

Copyright information

© Dr. W Junk by Publishers 1978

Authors and Affiliations

  • P. Dwyer Jones
    • 1
  • P. Eustace
    • 1
  • J. Toland
    • 1
  1. 1.The Mater Misericordiae Hospital and the National Neurosurgical UnitThe Richmond HospitalDublinIreland

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