Oghene John, Boppana Sri Harsha, Reddy Pooja, Beutler Bryce D, Dalal Deepan
Department of Internal Medicine and Primary Care, Brown University, Warren Alpert Medical School, Providence, USA.
Department of Internal Medicine, University of Nevada, Reno School of Medicine, Reno, USA.
Cureus. 2021 Dec 30;13(12):e20838. doi: 10.7759/cureus.20838. eCollection 2021 Dec.
Tolosa-Hunt syndrome (THS) is a rare neuro-immunological disorder characterized by severe periorbital headaches and ophthalmoplegia. In some patients, THS may occur in parallel with other autoimmune disorders. The underlying etiology of THS remains to be definitively established. However, inflammation of the cavernous sinus or orbital apex represents a hallmark feature; magnetic resonance imaging, therefore, plays a key role in establishing a diagnosis. We describe a patient who presented with concomitant THS and granulomatosis with polyangiitis. In addition, we describe the clinical and imaging findings of THS and review treatment options for this rare condition.
托洛萨-亨特综合征（THS）是一种罕见的神经免疫性疾病，其特征为严重的眶周头痛和眼肌麻痹。在一些患者中，THS可能与其他自身免疫性疾病同时出现。THS的潜在病因仍有待明确确定。然而，海绵窦或眶尖的炎症是一个标志性特征；因此，磁共振成像在确立诊断中起着关键作用。我们描述了一名同时患有THS和肉芽肿性多血管炎的患者。此外，我们描述了THS的临床和影像学表现，并综述了这种罕见疾病的治疗选择。
