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Case Reports
. 2020 Nov 7:2020:8883983.
doi: 10.1155/2020/8883983. eCollection 2020.

Tolosa-Hunt Syndrome: A Painful Ophthalmoplegia

Marcellin Bugeme  1 , Ousmane Cissé  2 , Olivier Mukuku  3 , Amadou Gallo Diop  2
Affiliations
Case Reports

Tolosa-Hunt Syndrome: A Painful Ophthalmoplegia

Marcellin Bugeme et al. Case Rep Neurol Med. .

Abstract

Tolosa-Hunt syndrome is a painful ophthalmoplegia characterized by recurrent unilateral orbital pain, ipsilateral oculomotor paralysis, and a rapid response to steroids. Our report describes a 37-year-old young woman who presented with right ptosis, ipsilateral ophthalmoplegia, and painful headache with no other neurological deficits in which all biological and neuroimaging investigations were normal. Complete recovery within one week of corticosteroid therapy was observed. This is probably the first case of Tolosa-Hunt syndrome reported in Dakar, Senegal.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Right ptosis. (b) Paresis of the third cranial nerve. (c) Paresis of the sixth cranial nerve. (d) Paresis of the fourth cranial nerve.
Figure 2
Figure 2
MRI axial slice of the brain in (a) T2 sequence and (b) T2-FLAIR sequence after contrast injection showing no abnormalities in the cavernous sinus.
Figure 3
Figure 3
(a) Regression of right ptosis. (b) Complete remission of the third cranial nerve. (c) Complete remission of the sixth cranial nerve.
See this image and copyright information in PMC

References

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