Zournas C, Trakadas S, Kapaki E, Doris S, Gatzonis S, Gouliamos A, Papageorgiou C
Department of Neurology, Aeginition Hospital, Athens, Greece.
AJNR Am J Neuroradiol. 1995 Apr;16(4 Suppl):942-4.
A 54-year-old man first was admitted with a right oculomotor nerve palsy that ameliorated spontaneously. Two months later, he was readmitted with right proptosis, ophthalmoplegia, and optic nerve involvement. MR showed an enlarged right cavernous sinus. There was dramatic improvement after high doses of steroids. MR findings 10 months later were normal. Thus, the diagnosis of the Tolosa-Hunt syndrome was established.
一名54岁男性首次因右侧动眼神经麻痹入院,该症状随后自行缓解。两个月后,他再次入院,伴有右侧眼球突出、眼肌麻痹和视神经受累。磁共振成像(MR)显示右侧海绵窦增大。大剂量类固醇治疗后病情显著改善。10个月后的MR检查结果正常。因此,确诊为托洛萨-亨特综合征。