Main Article Content
Tolosa-Hunt Syndrome is a rare condition characterized by painful ophthalmoparesis and idiopathic granulomatous inflammation of the cavernous sinus, classically extremely responsive to corticosteroid administration. We present a rare case of a 27-year-old man with Tolosa-Hunt Syndrome who did not respond to corticosteroids and the rupture of the co-existing internal carotid artery aneurysm caused his death.
International Headache Society. The International Classification of Headache Disorders, 3rd Edition. Cephalalgia 2018; 38:1–211.
Amrutkar C, Burton EV. Tolosa-hunt syndrome. Statpearls Publishing; 2020.
Olsen K, Johnson A, Castillo-Jorge S, Bennett J, Ryan Mf, Olsen K, Et Al. Diagnosis and treatment of tolosa-hunt syndrome in the emergency department. Open J Emerg Med 2017;05:1–7.
Msigwa Ss, Li Y, Cheng X, Msigwa Ss, Li Y, Cheng X. Tolosa hunt syndrome: Current diagnostic challenges and treatment. Yangtze Med. 2020;04:140–56.
Evers S. Facial Pain: Overlapping Syndromes. Cephalalgia. 2017;37:705–13.
Halabi T, Sawaya R. Successful Treatment of tolosa-hunt syndrome after a single Infusion of infliximab. J Clin Neurol 2018; 14:126–7.
Mazzotta G, Alberti A, Ps-Ha. Undefined. a case of tolosa-hunt syndrome responsive to azathioprine treatment. Cliggott Publ N.D; 2004.
Takasuna H, Sasaki R, Shiraishi M, Doi M, Wakui D, Ito H, Et Al. Steroid-resistant tolosa-hunt syndrome with a de novo intracavernous aneurysm: A case report. Surg Neurol Int. 2016;7:S779–84.
Furukawa Y, Yamaguchi W, Ito K, Hamada T, Miyaji H, Tamamura H, Et Al. The Efficacy of radiation monotherapy for tolosa-hunt syndrome. J Neurol 2010;257: 288–90.
Wani Na, Jehangir M, Lone Pa. Tolosa-hunt syndrome demonstrated by constructive interference steady state magnetic resonance imaging. J Ophthalmic Vis Res 2017;12:106–9.
Cakirer S. Mri findings in tolosa-hunt syndrome before and after systemic corticosteroid therapy. Eur J Radiol 2003;45:83–90.
Ravindran K, Schmalz P, Torun N, Ronthal M, Chang Y-M, Thomas Aj. Angiographic findings in the tolosa–hunt syndrome and resolution after corticosteroid treatment. Neuro-Ophthalmology. 2018;42:159–63.
Kupersmith Mj, Stiebel-Kalish H, Huna-Baron R, Setton A, Niimi Y, Langer D, Et Al. Cavernous carotid aneurysms rarely cause subarachnoid hemorrhage or major neurologic morbidity. J Stroke Cerebrovasc Dis. 2002;11:9–14.