Cenac A, Touta A, Kabo A, Pintart D, Develoux M
Service de Médecine Interne, Hôpital National et Faculté des Sciences de la Santé, Niamey Niger.
Med Trop (Mars). 1991 Apr-Jun;51(2):173-6.
The Tolosa-Hunt syndrome is a painful ophthalmoplegia in relation with a granulomatous lesion of the cavernous sinus of obscure etiology. The authors report 4 cases diagnosed at National Hospital of Niamey (Republic of Niger). They were 3 men and one woman. The unilateral retro-orbital cephalalgia was constant. Three patients had left oculomotor and abducens nerves' palsies and one only left trochlear nerve's palsy. In three cases the therapeutic efficacy of systemic corticosteroids was dramatic with complete remission of clinical signs. In a fourth case, chlorambucil was used with complete recovery.
托洛萨-亨特综合征是一种与病因不明的海绵窦肉芽肿性病变相关的疼痛性眼肌麻痹。作者报告了在尼亚美国家医院（尼日尔共和国）诊断的4例病例。其中3名男性，1名女性。单侧眶后头痛持续存在。3例患者出现左动眼神经和外展神经麻痹，1例仅出现左滑车神经麻痹。3例患者全身使用皮质类固醇治疗效果显著，临床症状完全缓解。第4例患者使用苯丁酸氮芥后完全康复。
