Tolosa-Hunt syndrome with reversible dissection aneurysm

被引：5

作者：

Zhou, Zhiming ^{[1
]}

Zhou, Guangyi ^{[1
]}

Lu, Tingting ^{[1
]}

Xu, Gelin ^{[1
]}

Liu, Xinfeng ^{[1
]}

机构：

[1] Nanjing Univ, Sch Med, Dept Neurol, Jinling Hosp, Nanjing 210002, Jiangsu, Peoples R China

来源：

NEUROLOGICAL SCIENCES | 2010年 / 31卷 / 06期

关键词：

Aneurysm; Carotid stenosis; Cavernous sinus; Dissection; Tolosa-Hunt syndrome; PAINFUL OPHTHALMOPLEGIA; MANAGEMENT; DIAGNOSIS;

D O I：

10.1007/s10072-010-0231-7

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 49-year-old female presented with recurrent intolerable right retro-orbital pain, ptosis and diplopia for 4 months. Neurological evaluation revealed right oculomotor nerve and abducent nerve injuries. Neuroimaging found enlarged right cavernous sinus, right intracavernous carotid dissection aneurysm and a stenosis proximal to it. Tolosa Hunt syndrome (THS) was suggested and treated with steroid. The clinical symptoms were alleviated after the treatment. After 3 months of follow-up cerebral angiography showed the lesions of the right intracavernous carotid stenosis and the dissection almost disappeared. Therefore, we proposed that the dissection and the stenosis are directly induced by the inflammation of THS.

引用

页码：777 / 779

页数：3

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