Tolosa-Hunt
syndrome
It
defines sporadic orbital pain related with paralysis of one or more of the
third, fourth and/or sixth cranial nerves which typically resolve instinctively
but can deteriorate and dispatch.
Symptoms
The
patient may criticize of double vision poorer at distance, annoyances, faintness,
blurred vision, nausea, neck stiffness, photophobia and a boring pain may be related
with the headache.
Diagnosis
In
addition to the whole ophthalmic exam as labelled above, the doctor must carefully
look for facial hypoesthesia or bulge oforbital venous congestion, ocular
superficial vessels.
Treatment
Oral
steroids are the backbone of cure. Both indications and physical exam results
can be predictable to resolve quickly with an oral steroid taper regimen over
3-4 months.
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