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MRI in Tolosa‐Hunt Syndrome Associated With Facial Nerve Palsy
Author(s) -
Kang Heeyoung,
Park KiJong,
Son Seungnam,
Choi Dae Seob,
Ryoo Jae Wook,
Kwon OhYoung,
Choi NackCheon,
Lim Byeong Hoon
Publication year - 2006
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.2006.00348_3.x
Subject(s) - tolosa–hunt syndrome , cavernous sinus , diplopia , medicine , palsy , facial nerve , surgery , magnetic resonance imaging , abducens nerve , trochlear nerve , facial nerve palsy , radiology , pathology , alternative medicine
A 44‐year‐old woman developed a severe right frontotemporal headache, retro‐orbital pain, and, later, diplopia owing to right sixth nerve palsy. The brain MRI demonstrated strong enhancement of the right cavernous sinus. The sixth nerve palsy and headache improved with steroid therapy after 6 weeks. At that time, she suffered right peripheral facial nerve palsy. Enhancement of the distal canalicular and labyrinthic segment of the right facial nerve was found on contrast‐enhanced MRI. To our knowledge, this is a very rare case of Tolosa‐Hunt syndrome with facial nerve palsy, with simultaneous enhancement of the cavernous sinus and facial nerve on contrast‐enhanced MRI.