International Journal of Pharma and Bio Sciences
ijpbs.net
editorijpbs@rediffmail.com (or) editorofijpbs@yahoo.com (or) prasmol@rediffmail.com
10.22376/ijpbs.2019.10.1.p1-12
Volume 5 Issue 1
2014 (January - March)
A RARE CAUSE OF RETRO ORBITAL PAIN - CASE REPORT
Tolosa hunt Syndrome is known for its rarity. Patients complain of relapsing and remitting sharp retro orbital pain caused by non-granulomatous inflammation in the cavernous sinus. This 68 year old female patient presented with sharp retro orbital pain and frontal headache unresponsive to analgesics with mild ptosis and progressed to ipsilateral visual loss the following week. A known diabetic and hypertensive, she responded dramatically to oral corticosteroid therapy. Contrast MRI showed a homogenously enhancing mass in the left cavernous sinus which was isointense to gray matter on T2- weighted images. Brain MRI showed granulomatous inflammation in left cavernous sinus and thickening of the adjacent dura mater of the cranial base, suggesting the possibility of a coexisting focal hypertrophic cranial pachymeningitis Steroid therapy with strict control of blood sugar is recommended in patients with THS complicated by diabetes. MRI is a valuable tool for serially monitoring the response of lesions to treatment in THS.
DR. KUKU MARIAM SURESH , DR. V. CHANDRASEKAR AND DR. K. KANAKARAJ
Granulomatous, Cavernous sinus, Ophthalmoplegia, Retro orbital
752-757