Ravindran Krishnan, Schmalz Philip, Torun Nurhan, Ronthal Michael, Chang Yu-Ming, Thomas Ajith J
The Royal Melbourne Hospital, Parkville, VIC, Australia.
Department of Neurosurgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Neuroophthalmology. 2017 Sep 6;42(3):159-163. doi: 10.1080/01658107.2017.1365268. eCollection 2018 Jun.
The Tolosa-Hunt syndrome is a rare clinical condition characterized by painful opthalmoparesis associated with idiopathic granulomatous inflammation of the orbital apex and cavernous sinus. Historically, this condition was thought to result from arteritic changes in the internal carotid artery and cavernous sinus. Modern digital angiographic techniques were unavailable when THS was initially described, and few reports exist on its high-resolution angiographic findings. Painful ophthalmoparesis, especially of the oculomotor nerve, warrants vascular imaging because of the concern for an underlying aneurysm. Here, we describe angiographic findings of THS which may be useful for clinicians when encountering patients presenting with painful ophthalmoplegia.
托洛萨-亨特综合征是一种罕见的临床病症，其特征为疼痛性眼肌麻痹，并伴有眶尖和海绵窦的特发性肉芽肿性炎症。从历史上看，这种病症被认为是由颈内动脉和海绵窦的动脉炎变化引起的。最初描述托洛萨-亨特综合征时，现代数字血管造影技术尚未出现，关于其高分辨率血管造影结果的报道也很少。由于担心潜在的动脉瘤，疼痛性眼肌麻痹，尤其是动眼神经麻痹，需要进行血管成像检查。在此，我们描述了托洛萨-亨特综合征的血管造影结果，这可能对临床医生在遇到伴有疼痛性眼肌麻痹的患者时有所帮助。
