MRI in Tolosa-Hunt Syndrome Associated With Facial Nerve Palsy
A 44‐year‐old woman developed a severe right frontotemporal headache, retro‐orbital pain, and, later, diplopia owing to right sixth nerve palsy. The brain MRI demonstrated strong enhancement of the right cavernous sinus. The sixth nerve palsy and headache improved with steroid therapy after 6 weeks....
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Veröffentlicht in: | Headache 2006-02, Vol.46 (2), p.336-339 |
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creator | Kang, Heeyoung Park, Ki-Jong Son, Seungnam Choi, Dae Seob Ryoo, Jae Wook Kwon, Oh-Young Choi, Nack-Cheon Lim, Byeong Hoon |
description | A 44‐year‐old woman developed a severe right frontotemporal headache, retro‐orbital pain, and, later, diplopia owing to right sixth nerve palsy. The brain MRI demonstrated strong enhancement of the right cavernous sinus. The sixth nerve palsy and headache improved with steroid therapy after 6 weeks. At that time, she suffered right peripheral facial nerve palsy. Enhancement of the distal canalicular and labyrinthic segment of the right facial nerve was found on contrast‐enhanced MRI. To our knowledge, this is a very rare case of Tolosa‐Hunt syndrome with facial nerve palsy, with simultaneous enhancement of the cavernous sinus and facial nerve on contrast‐enhanced MRI. |
doi_str_mv | 10.1111/j.1526-4610.2006.00348_3.x |
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The brain MRI demonstrated strong enhancement of the right cavernous sinus. The sixth nerve palsy and headache improved with steroid therapy after 6 weeks. At that time, she suffered right peripheral facial nerve palsy. Enhancement of the distal canalicular and labyrinthic segment of the right facial nerve was found on contrast‐enhanced MRI. 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To our knowledge, this is a very rare case of Tolosa‐Hunt syndrome with facial nerve palsy, with simultaneous enhancement of the cavernous sinus and facial nerve on contrast‐enhanced MRI.</description><subject>Adult</subject><subject>Bell's palsy</subject><subject>Cavernous Sinus - pathology</subject><subject>Diagnosis, Differential</subject><subject>enhancement</subject><subject>Facial Nerve Diseases - complications</subject><subject>facial paralysis</subject><subject>Facial Paralysis - complications</subject><subject>Female</subject><subject>Headache - etiology</subject><subject>Humans</subject><subject>magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Tolosa-Hunt syndrome</subject><subject>Tolosa-Hunt Syndrome - complications</subject><subject>Tolosa-Hunt Syndrome - diagnosis</subject><issn>0017-8748</issn><issn>1526-4610</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkV1PwjAUhhujUUT_glm8MN4MTz_XemFCUIHErygG403TbV0cDobrUPj3FiF6p7E3pz3nOW-T90XoEEML-3MyamFORMiEbxAA0QKgTGramm-gxvdoEzUAcBTKiMkdtOvcCACYUGIb7WDBFCFMNtDZ9X0_yCfBoCxKZ8LebFIHD4tJWpVjG7SdK5Pc1DYNhnn9Elwa_yqCG1u92-DOFG6xh7YyX-3-ujbR4-XFoNMLr267_U77KkwYYzSMFeCMSmZia7CSlBNIWBYJTrgSglOsMhNxFRtORSyJSLMkS6WSCcgMiE1pEx2tdKdV-Tazrtbj3CW2KMzEljOnRSQko4r-CRLAQBQlHjz-FcRcAMYRpsyjpys0qUrnKpvpaZWPTbXQGPQyET3SS9v10na9TESvE9Fzv3yw_mcWj236s7qOwAPtFfCRF3bxD2ndu2iff929RrjSyF1t598apnr1ztCI6-FNVz8RKqPuM9GYfgL3Sacl</recordid><startdate>200602</startdate><enddate>200602</enddate><creator>Kang, Heeyoung</creator><creator>Park, Ki-Jong</creator><creator>Son, Seungnam</creator><creator>Choi, Dae Seob</creator><creator>Ryoo, Jae Wook</creator><creator>Kwon, Oh-Young</creator><creator>Choi, Nack-Cheon</creator><creator>Lim, Byeong Hoon</creator><general>Blackwell Science Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>200602</creationdate><title>MRI in Tolosa-Hunt Syndrome Associated With Facial Nerve Palsy</title><author>Kang, Heeyoung ; Park, Ki-Jong ; Son, Seungnam ; Choi, Dae Seob ; Ryoo, Jae Wook ; Kwon, Oh-Young ; Choi, Nack-Cheon ; Lim, Byeong Hoon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4443-b901f384abea1983520c4f765259665319fa759ba536b826dfcfd898c08f02ed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Bell's palsy</topic><topic>Cavernous Sinus - pathology</topic><topic>Diagnosis, Differential</topic><topic>enhancement</topic><topic>Facial Nerve Diseases - complications</topic><topic>facial paralysis</topic><topic>Facial Paralysis - complications</topic><topic>Female</topic><topic>Headache - etiology</topic><topic>Humans</topic><topic>magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Tolosa-Hunt syndrome</topic><topic>Tolosa-Hunt Syndrome - complications</topic><topic>Tolosa-Hunt Syndrome - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kang, Heeyoung</creatorcontrib><creatorcontrib>Park, Ki-Jong</creatorcontrib><creatorcontrib>Son, Seungnam</creatorcontrib><creatorcontrib>Choi, Dae Seob</creatorcontrib><creatorcontrib>Ryoo, Jae Wook</creatorcontrib><creatorcontrib>Kwon, Oh-Young</creatorcontrib><creatorcontrib>Choi, Nack-Cheon</creatorcontrib><creatorcontrib>Lim, Byeong Hoon</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Headache</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kang, Heeyoung</au><au>Park, Ki-Jong</au><au>Son, Seungnam</au><au>Choi, Dae Seob</au><au>Ryoo, Jae Wook</au><au>Kwon, Oh-Young</au><au>Choi, Nack-Cheon</au><au>Lim, Byeong Hoon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>MRI in Tolosa-Hunt Syndrome Associated With Facial Nerve Palsy</atitle><jtitle>Headache</jtitle><addtitle>Headache</addtitle><date>2006-02</date><risdate>2006</risdate><volume>46</volume><issue>2</issue><spage>336</spage><epage>339</epage><pages>336-339</pages><issn>0017-8748</issn><eissn>1526-4610</eissn><abstract>A 44‐year‐old woman developed a severe right frontotemporal headache, retro‐orbital pain, and, later, diplopia owing to right sixth nerve palsy. 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subjects | Adult Bell's palsy Cavernous Sinus - pathology Diagnosis, Differential enhancement Facial Nerve Diseases - complications facial paralysis Facial Paralysis - complications Female Headache - etiology Humans magnetic resonance imaging Magnetic Resonance Imaging - methods Tolosa-Hunt syndrome Tolosa-Hunt Syndrome - complications Tolosa-Hunt Syndrome - diagnosis |
title | MRI in Tolosa-Hunt Syndrome Associated With Facial Nerve Palsy |
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