Ağrı. 2015; 27(4): 219-223 | DOI: 10.5505/agri.2015.67699 | |||
Painful Ophthalmoplegia: A Case Report And Literature ReviewFerda İlgen Uslu1, Mustafa Özkan21Antalya Ataturk State Hospital, Antalya2Antalya Yaşam Hospital Introduction: Painful ophthalmoplegia consists of periorbital or hemicranial pain with ipsilateral ocular motor nerve palsies. There are many etiologies of painful ophthalmoplegia. Tolosa-Hunt syndrome (THS) is an uncommon disease caused by non-specific inflammation of the cavernous sinus, superior orbital fissure and the apex of the orbit. Case presentation: A 45-year-old female reported episodes of reversible left eye pain and diplopia. Examination showed periorbital oedema and left palpebral semiptosis, paresis of the partial left third nerve palsy with normal pupillary reactions, fourth and sixth left cranial nerves, and hypoesthesia over the first and second division of the left trigeminal nerve. Blood analysis, postcontrast cranial and orbital magnetic resonance (MR) imaging, cranial MR angiography and CSF analysis demonstrated no abnormalities. The clinical diagnosis satisfies the criteria for " Tolosa-Hunt syndrome ". After steroid therapy her symptoms and clinical signs dramatically reverses. Conclusion: Painful ophthalmoplegia with inflammatory conditions such as Tolosa Hunt syndrome is highly responsive to corticosteroids but should be diagnoses of exclusion. The THS diagnosis should be used rarely and with great caution. Keywords: Painful Ophthalmoplegia, multiple cranial nerve palsy, Tolosa Hunt SyndromeAğrılı Oftalmopleji: Bir Olgu Sunumu Ve Literatür Gözden GeçirmesiFerda İlgen Uslu1, Mustafa Özkan21Antalya Atatürk Devlet Hastanesi, Antalya2Antalya Yaşam Hastanesi Giriş: ağrılı oftalmopleji periorbital veya hemikranyal başa ağrısı ile beraber ipsilateral okular motor sinir parezileri ile karakterizedir ve birçok değişik etiyoloji sonucu oluşabilir. Tolosa Hunt Sendromu (THS) ağrılı oftalmopatiye neden olabilen, kavernöz sinus, superior orbital fissur ve orbat apeksinin nonspesifik inflamasyonu sonucu oluşan nadir bir hastalıktır. Ferda İlgen Uslu, Mustafa Özkan. Painful Ophthalmoplegia: A Case Report And Literature Review. Ağrı. 2015; 27(4): 219-223 Corresponding Author: Ferda İlgen Uslu, Türkiye |
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