Possible Tolosa Hunt Syndrome
The Tolosa Hunt syndrome (THS) refers to the presence of a painful ophthalmoplegia secondary to surrounding cavernous sinus inflammation Tolosa Hunt syndrome is essentially a clinical diagnosis of exclusion.
MRI findings in THS can include:
- Inflammation of the cavernous sinus, superior orbital fissure, or orbital apex.
- Narrowing of the intracavernous internal carotid artery.
This case of 52 year old female reveals isointense lesion in the region of left cavernous sinus with enhancement on post gadolinium scans and smaller left ICA flow void, as the lesion was isointense on T2 weighted images and differential diagnosis of meningioma versus THS was suggested. Along with follow up scan after steroid to confirm the diagnosis. MRI scans should be performed every 1-2 months to monitor improvement and maintenance of improvement on and then off treatment, until findings normalize.
Possible Tolosa Hunt Syndrome
Reviewed by Sumer Sethi
on
Wednesday, February 16, 2011
Rating:
Reviewed by Sumer Sethi
on
Wednesday, February 16, 2011
Rating:
Sumer Sethi
Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology services and DAMS (Delhi Academy of Medical Sciences) Premier test preparation institute in India for MD/MS/MCI preparation. He has also been an invited faculty member at various conferences, including Teleradiology in IRIA 2008 and 2011, Hospital Build Middle East, Congress of the Brain Tumor Radiology in Neuro-oncology Society. Dr. Sethi is Editor-in-Chief of Internet Journal of Radiology. He has a keen interest in Web 2.0 technologies and in maintaining his famous radiology blog, which has been featured in multiple international journals.
1 comment:
Dear colleague,
did you find the lesion/expansion also in the cavum meckel? Could the trigeminal ganglion be visualised?
Farouk
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