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
Hauptverfasser: Kang, Heeyoung, Park, Ki-Jong, Son, Seungnam, Choi, Dae Seob, Ryoo, Jae Wook, Kwon, Oh-Young, Choi, Nack-Cheon, Lim, Byeong Hoon
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container_end_page 339
container_issue 2
container_start_page 336
container_title Headache
container_volume 46
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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source MEDLINE; Wiley Online Library Journals Frontfile Complete
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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