MR imaging of Tolosa-Hunt syndrome.
Publication/Presentation Date
1-1-1990
Abstract
The Tolosa-Hunt syndrome consists of painful ophthalmoplegia caused by cavernous sinus inflammation, which is responsive to steroid therapy. The MR features of 11 patients with the clinical diagnosis of Tolosa-Hunt syndrome were studied. Two patients had normal MR studies of the orbit and cavernous sinuses. In nine patients, abnormal signal and/or mass lesions were seen in the cavernous sinuses; in eight cases, the abnormality was hypointense relative to fat and isointense with muscle on short TR/TE images and isointense with fat on long TR/TE scans. Extension into the orbital apex was seen in eight cases. In six of nine cases the affected cavernous sinus was enlarged; in five of nine it had a convex outer margin. One patient had a thrombosed cavernous sinus and superior ophthalmic vein in addition to a cavernous sinus soft-tissue mass. The signal intensity of Tolosa-Hunt syndrome in this limited series was similar to that of orbital pseudotumor and is confined to a limited differential diagnosis, which includes meningioma, lymphoma, and sarcoidosis.
Volume
154
Issue
1
First Page
167
Last Page
170
ISSN
0361-803X
Published In/Presented At
Yousem, D. M., Atlas, S. W., Grossman, R. I., Sergott, R. C., Savino, P. J., & Bosley, T. M. (1990). MR imaging of Tolosa-Hunt syndrome. AJR. American journal of roentgenology, 154(1), 167–170. https://doi.org/10.2214/ajr.154.1.2104703
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
2104703
Department(s)
Administration and Leadership
Document Type
Article