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Journal of Korean Neurosurgical Society > Volume 5(2); 1976 > Article
Journal of Korean Neurosurgical Society 1976;5(2): 247-252.
A Case of Tolosa-Hunt Syndrome.
Sung Nam Hwang, Dae Hee Han, Kil Soo Choi
Department of Neurosurgery, Seoul National University, College of Medicine, Seoul, Korea.
The Tolosa-Hunt syndrome, first described by Hunt, et al., as painful ophthalmoplegia in 1961 is characterized by recurrent unilateral retro-orbital pain and dramatic response of steroid therapy. We have recently experienced one case of this syndrome. A 41 year old man was admitted to our hospital because of diplopia, ptosis of the right upperlid and right orbital pain which developed 2 months prior to admission. On examination, right EOM was markedly limited to all direction and sensation was decreased in the 1st and 2nd trigeminal division on the right. Simple skull films and carotid angiogram showed no abnormality. In orbital venography, 3rd portion of the right ophthalmic vein was not visualized. Steroid was administered and improvement of EOM was noted in the next day of therapy. On discharge, previous symptoms disappeared completely.
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