An interesting case of tolosa-hunt syndrome (a rare case report)

Background: Tolosa- Hunt Syndrome Is A Painful Ophthalmoplegia Caused By The Inflammatory Process of Various Etiologies Involving The Cavernous Sinus, Presents With Ocular Motor Weakness And Retro-Orbital Pain. Facial Sensation And Visual Acuity May Be Diminished.
Case Study: A 55-Year-Old Female Presented To Our Medical Opd With Complaints of Severe Headache And Facial Pain And Pain In The Right Eye And Diplopia For The Past 10 Days. On General Physical Examination, We Found That Her Vitals Were Stable, And Central Nervous System Examination Showed That The Patient Is Unable To Abduct Her Right Eyeball, Rest All Other Extraocular Movements Were Normal On The Right Eye. On The Left Eye, All Extraocular Movements Were Absolutely Normal. Her Routine Blood Investigations Were Normal And In View of 6th Cranial Nerve Involvement We Ordered Mri Brain And It Showed Minimal Asymmetrical Enhancing Soft Tissue Thickening Along The Posterolateral Aspect of The Right Cavernous Sinus With Mild Small Vessel Ischemic Changes. On The Basis of These Findings, A Diagnosis of Tolosa- Hunt Syndrome Was Made And The Patient Was Started On Corticosteroid Therapy. Dramatic Improvement In
Diplopia And Pain Noted Within 48 Hours Of Steroid Therapy.
Conclusion: Although The Pathogenetic Basis of Tolosa- Hunt Syndrome Remains Unknown, From A Practical Clinical Standpoint It Can Be Regarded As A Distinct Entity That May Be Stimulated By Various Other Disorders. Cortico Steroids Form The Mainstay of Treatment For This Syndrome.