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IP International Journal of Ocular Oncology and Oculoplasty


Tolosa Hunt Syndrome – Painful ophthalmoplegia in a young female


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Author Details: Saroj Gupta, Mary Jenifa Tigga, Sagarika Laad, Pranav Saluja

Volume : 3

Issue : 1

Online ISSN : 2581-5016

Print ISSN : 2581-5024

Article First Page : 90

Article End Page : 92


Abstract

Tolosa-Hunt syndrome (THS) is recurrent painful ophthalmoplegia caused by non-specific inflammation of the cavernous sinus or superior orbital fissure (SOF) and apex of the orbit. A young female presented to eye OPD with chief complains of unilateral headache with pain, swelling and drooping of left eye. MRI brain and orbit revealed homogenous enhancing soft tissue mass at the left orbital apex and cavernous sinus. Patient was given systemic corticosteroid in tapering dose. Follow up after one week of therapy showed improvement in ptosis and ocular movement.

Keywords:
Cavernous sinus, Orbital apex, Ophthalmoplegia, Ptosis, Superior orbital fissure