A Case of a Male Presenting with Periocular Pain and Diplopia at an Emergency Department: Tolosa-Hunt Syndrome
Journal of the Korean Society of Emergency Medicine
;
: 286-290, 2011.
Article
Dans Anglais
| WPRIM
| ID: wpr-66813
ABSTRACT
Tolosa-Hunt syndrome is a rare self-limiting disease characterized by a painful, unilateral ophthalmoplegia caused by an idiopathic granulomatous inflammation in cavernous sinus, the superior orbital fissure or the orbital apex. We report a case of a 51-year-old man who presented at the emergency department with periocular pain and diplopia. Physical examination, and radiological and laboratory testing performed at that time were diagnostically inconclusive. After hospitalization, the patient was diagnosed with Tolosa-Hunt syndrome. Treatment with high dose steroid was started; by 2 days later, the periocular pain was relieved and other symptoms had improved. The rarity of Tolosa-Hunt syndrome calls for knowledge of the disease and attention by an emergency physician. The case report includes as summary of the syndrome, its' diagnosis and treatment.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Orbite
/
Examen physique
/
Sinus caverneux
/
Ophtalmoplégie
/
Syndrome de Tolosa-Hunt
/
Diplopie
/
Urgences
/
Hospitalisation
/
Inflammation
Limites du sujet:
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Journal of the Korean Society of Emergency Medicine
Année:
2011
Type:
Article
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