Tolosa-Hunt Syndrome Demonstrated by Constructive Interference Steady State Magnetic Resonance Imaging.

J Ophthalmic Vis Res

Department of OMF Surgery, GDC Jammu, Jammu and Kashmir, India.

Published: January 2017

Purpose: To highlight the role of constructive interference steady state (CISS) magnetic resonance imaging (MRI) in the diagnosis of Tolosa-Hunt Syndrome (THS).

Case Report: We describe a case of THS in a 55-year-old woman presenting with left painful opthalmoplegia that was diagnosed by CISS MRI. Patient responded to steroid treatment and the lesion resolved.

Conclusion: Imaging with MRI can help in making the diagnosis of THS by demonstrating an enhancing soft tissue lesion in the cavernous sinus and orbital apex resolving with steroids. CISS MRI is a sensitive sequence for diagnosis and follow-up imaging in THS.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5340048PMC
http://dx.doi.org/10.4103/2008-322X.200171DOI Listing

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