Publication:
Tolosa-Hunt Syndrome: A Case Report Authors

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorK.C., Siddhanta
dc.contributor.authorK.C., Shreeyanta
dc.contributor.authorKunwar, Prajjwal
dc.contributor.authorDhungana, Krishna
dc.date.accessioned2026-02-26T08:08:06Z
dc.date.available2026-02-26T08:08:06Z
dc.date.issued2021
dc.descriptionSiddhanta K.C. Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal Shreeyanta K.C. Dirghayu Guru Hospital, Chabahil, Kathmandu, Nepal Prajjwal Kunwar HAMS Hospital, Dhumbarahi, Kathmandu, Nepal Krishna Dhungana Department of Neurology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
dc.description.abstractAbstract: Tolosa-Hunt Syndrome is a rare disease characterized by painful ophthalmoplegia affecting third, fourth, and/or sixth cranial nerve caused by non-specific inflammation in the cavernous sinus or superior orbital fissure of unknown etiology. We presented a 67-year-old female with Tolosa-Hunt Syndrome. She had a right-sided headache and periorbital pain with double vision. Examination showed right-sided ptosis, right-sided trochlear and abducens nerve palsy, and partial right-sided oculomotor nerve palsy with hypoesthesia in the area of the ophthalmic division of the trigeminal nerve. Magnetic resonance imaging of head and orbit showed altered signal intensity changes in the optic nerve and lateral rectus muscle. After steroid therapy, pain and ptosis were significantly improved in 72 hours. Tolosa-Hunt Syndrome is a diagnosis of exclusion, with clinical presentation, normal investigations, magnetic resonance imaging findings, and response to steroid therapy crucial in making the diagnosis.
dc.identifierhttps://doi.org/10.31729/jnma.5700
dc.identifier.urihttps://hdl.handle.net/20.500.14572/4962
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectpainful opthalmoplegia
dc.subjectptosis
dc.subjectTolosa-Hunt Syndrome
dc.titleTolosa-Hunt Syndrome: A Case Report Authors
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage607
oaire.citation.startPage604
relation.isJournalIssueOfPublication6b98c94f-5683-4340-88a0-99371bdd96de
relation.isJournalIssueOfPublication.latestForDiscovery6b98c94f-5683-4340-88a0-99371bdd96de
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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