Long-term cure of tolosa-hunt syndrome after low-dose focal radiotherapy

Tolosa-Hunt syndrome (THS) is a rare cause of painful ophtalmoplegia due to chronic granulomatous inflammation of the cavernous sinus. While corticoids are the treatment of reference, corticodependence and corticoresistance are frequent, hence radiotherapy has been proposed as an alternative treatme...

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Veröffentlicht in:	Headache 2005-04, Vol.45 (4), p.389-391
Hauptverfasser:	FOUBERT-SAMIER, Alexandra, SIBON, Igor, MAIRE, Jean-Phillipe, TISON, Francois
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Biological and medical sciences Cavernous Sinus Humans Male Medical sciences Neurology Neuropharmacology Neuroprotective agent Oculomotor disorders Ophthalmology Pharmacology. Drug treatments Prednisolone - adverse effects Prednisolone - therapeutic use Recurrence Substance-Related Disorders Tolosa-Hunt Syndrome - drug therapy Tolosa-Hunt Syndrome - radiotherapy Vascular diseases and vascular malformations of the nervous system
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Beschreibung
Zusammenfassung:	Tolosa-Hunt syndrome (THS) is a rare cause of painful ophtalmoplegia due to chronic granulomatous inflammation of the cavernous sinus. While corticoids are the treatment of reference, corticodependence and corticoresistance are frequent, hence radiotherapy has been proposed as an alternative treatment. We report a case of long-term improvement (8 years) of THS after low-dose (20 Gy) radiotherapy in a patient with recurrences and corticodependence.
ISSN:	0017-8748
DOI:	10.1111/j.1526-4610.2005.05077_5.x