CASE REPORT ON: TOLOSA HUNT SYNDROME

Maheshwari V.*, Syam Prakash K. R.*, Shahina K. P.* and Manju Mohan*

ABSTRACT

Tolosa-Hunt Syndrome(TSH) is a rare disease with a limited number of cases reported in the literature. It is caused by non-specific inflammation of the cavernous sinus, superior orbital fissure and the apex of the orbit. It typically presents with orbital pain associated with palsy of the third, fourth, and or sixth cranial nerve and quick response to steroid treatment. We present an interesting case of Tolosa-Hunt syndrome in a 67 year old male patient who was admitted with periorbital pain, severe headache, diplopia and right L R palsy and responded well to high-dose steroids and in a few days had significant improvement in his retro-orbital pain, and diplopia.

Keywords: Tolosa- Hunt syndrome, periorbital pain, plasy, diplopia.