J Korean Pain Soc.  1989 Nov;2(2):198-202.

A Case of an Unusual Tolosa-Hunt Syndrome

• Lee SS
• Kim KS
• Han YJ
• Choe H

Abstract

The Tolosa-Hunt syndrome is one of the rare disease with facial, especially peri-orbital pain, and ophthalomoplegia associated mostly with granulomatous lesions in cavernous sinus or superior orbital fissure. In addition to ophthalmoplegia by multiple cranial nerve involvement, the sympathetic nervous system may also be involved leading to Horner's syndrome. A typical Tolosa-Hunt syndrome has a neuro-radiologic finding of an increased density in the involved region, and a laboratory finding of an elevated ESR, as well as a dramatic response to systemic corticosteroid therapy. An unuaual case of the- Tolosa-Hunt syndrome with normal radiologic and laboratory findings, unresponsive to systemic corticosteroid, and some response of pain relief to a stellate ganglion block, is presented.

MeSH Terms

Cavernous Sinus
Cranial Nerves
Horner Syndrome
Ophthalmoplegia
Orbit
Rare Diseases
Stellate Ganglion
Sympathetic Nervous System
Tolosa-Hunt Syndrome*