J Korean Neurol Assoc.
2021 Nov;39(4):343-346. 10.17340/jkna.2021.4.13.
Tolosa-Hunt Syndrome Presenting as Cluster-Like Headache
- Affiliations
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- 1Department of Neurology, Dong-A University College of Medicine, Busan, Korea
- 2Busan Regional Cardiocerebrovascular Center, Busan, Korea
- KMID: 2521866
- DOI: http://doi.org/10.17340/jkna.2021.4.13
Abstract
- A 48-year-old man came with a left-sided headache that was compatible with diagnostic criteria of cluster headache. Left oculomotor nerve palsy developed 2 weeks after headache onset. Magnetic resonance imaging showed wall thickening and enhancement by contrast material in the lateral aspect of the left cavernous sinus, consistent with a possible inflammatory lesion. The patient reported the almost complete remission of the pain and diplopia after steroid therapy. We speculate that Tolosa-Hunt syndrome should be included as a cause of cluster-like headaches.
