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
em En
| WPRIM
| ID: wpr-66813
Biblioteca responsável:
WPRO
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.
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Índice:
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Assunto principal:
Órbita
/
Exame Físico
/
Seio Cavernoso
/
Oftalmoplegia
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Síndrome de Tolosa-Hunt
/
Diplopia
/
Emergências
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Hospitalização
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Inflamação
Limite:
Humans
/
Male
Idioma:
En
Revista:
Journal of the Korean Society of Emergency Medicine
Ano de publicação:
2011
Tipo de documento:
Article