Tolosa–Hunt syndrome
https://doi.org/10.30629/2658-7947-2023-28-6-56-61
Abstract
A description of a clinical case of Tolosa–Hunt syndrome (THS) and a brief review of the literature are presented. The described clinical case is characterized by three features that have not received sufficient attention in the literature: 1) the presence of recurrent pain outside the orbit in combination with ptosis without diplopia several years before the development of a typical episode of THS; 2) insufficient and unstable clinical response to standard doses of glucocorticoids with high efficiency of pulse therapy with methylprednisolone followed by oral administration of prednisolone; 3) a longer than required according to the international classification of headaches (ICHD-3) time interval between the development of cephalalgia and the appearance of oculomotor disorders. This clinical observation expands the understanding of the clinical picture and treatment of THS.
About the Authors
N. A. Kayleva
City Clinical Hospital No. 4
Russian Federation
Russian Federation
Perm
A. A. Kulesh
Wagner Perm State Medical University; City Clinical Hospital No. 4
Russian Federation
Russian Federation
Perm
N. L. Starikova
City Clinical Hospital No. 4
Russian Federation
Russian Federation
Perm
Yu. V. Karakulova
Wagner Perm State Medical University
Russian Federation
Russian Federation
Perm
A. R. Galimshin
Wagner Perm State Medical University; City Clinical Hospital No. 4
Russian Federation
Russian Federation
Perm
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Review
For citations:
Kayleva N.A., Kulesh A.A., Starikova N.L., Karakulova Yu.V., Galimshin A.R. Tolosa–Hunt syndrome. Russian neurological journal. 2023;28(6):56-61. (In Russ.) https://doi.org/10.30629/2658-7947-2023-28-6-56-61
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