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Tolosa-Hunt Sendromlu Bir Olguda İntracavernöz Karotid Arter Anevrizmasi

Intracavernous Carotid Artery Aneurysm in a Case of Tolosa-Hunt Syndrome

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2008

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Purpose: To report a case presented with the clinical features of both orbital apex and cavernous sinus syndrome. Methods: Review of clinical, orbital magnetic resonance imaging and magnetic resonance angiography findings. Results: A 82-year-old man admitted to our clinic with left CN III, CN IV and CN VI nerve palsy and involvement of optic nerve (CN II), ophthalmic (V1) and maxillary (V2) branch of the trigeminal nerve. With the help of orbital magnetic resonance imaging and magnetic resonance angiography the diagnosis of intracavernous carotid artery aneurysm in Tolosa-Hunt Syndrome was made. There is dramatic recovery in visual acuity and pain after the initiation of steroid therapy. Conclusion: Neuroimaging studies may be helpful to explain the symptomatology and to localize the place of orbital and cavernous lesions.
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Abstract (Original Language): 
Amaç: Orbital apeks ve kavernöz sinus sendrom klinik özelliklerinin taşıyan bir vakayı sunmak. Yöntem: Hastanın klinik, orbital manyetik rezonans ve manyetik rezonans anjiografi bulgularının tartışılması. Bulgular: 82 yaşında erkek hasta sol CN II, CN III, CN IV, CN V1, CN V2 and CN VI sinir tutulumları ile başvurdu. Orbital manyetik rezonans görüntüleme yardımı ile Tolosa-Hunt sendrom ve intracavernöz karotid arter anevrizması tanısı kondu. Steriod tedavisi başlanması sonrasında hastanın görme keskinliği ve ağrısında belirgin düzelme oldu. Sonuç: Nörogörüntüleme yöntemleri orbital ve kavernöz bölge lezyonlarında lezyonun yerinin tespiti ve semptomların açıklanmasında faydalıdır.
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  • 1
35-37
  • Turkish

REFERENCES

References: 

1. Yeh S, Foroozan R. Orbital apex syndrome. Curr Opin Ophthalmol. 2004;15:490-
8.
2. Kambe A, Tanaka Y, Numata H, Kawakami S, Kurosaki M, Ohtake M, Kamitani
H,Miyata H, Ohama E, Watanabe T. A case of Tolosa-Hunt syndrome affecting
both the cavernous sinuses and the hypophysis, and associated with C3 and C4
aneurysms. Surg Neurol. 2006;65:304-7.
3. Keane JR. Cavernous sinus syndrome. Analysis of 151 cases. Arch Neurol.
1996;53:967-71.
4. Sondheimer FK, Knapp J. Angiographic findings in the Tolosa-Hunt syndrome:
painful ophthalmoplegia. Radiology. 1973;106:105-12.
5. Muhletaler CA, Gerlock AJ Jr. Orbital venography in painful ophthalmoplegia
(Tolosa-Hunt syndrome). AJR Am J Roentgenol. 1979;133:31-4.
6. de Arcaya AA, Cerezal L, Canga A, Polo JM, Berciano J, Pascual J. Neuroimaging
diagnosis of Tolosa-Hunt syndrome: MRI contribution. Headache. 1999;39:321-5.

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