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J Korean Neurol Assoc. 2008 Aug;26(3):286-289. Korean. Case Report.
Yoon SH , Kim SY , Lee HE , Jung YK , Lee JY , Koh IS , Cho PZ .
Department of Neurology, National Medical Center, Seoul, Korea.

Tolosa-Hunt syndrome is a painful ophthalmoplegia due to nonspecific granulomatous inflammation in the cavernous sinus. A 16-year-old man developed Tolosa-Hunt syndrome accompanied by facial nerve palsy. MRI showed an inflammatory lesion in the cavernous sinus with gadolinium enhancement. This rare presentation suggests that Tolosa-Hunt syndrome is a localized form of idiopathic hypertrophic pachymeningitis.

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