The Tolosa-Hunt syndrome, first described by Hunt, et al., as painful ophthalmgplegia in 1961 is characterized by recurrent unilateral´ retro-orbital pain and dramatic response to steroid therapy.
We have recently experienced one case of this syndrome.
A 41 year old man was admitted to ourr hospital because of diplopia, ptosis-of. the right upperlid and right orbital pain which developed 2 months prior to admission.
On examination, right EOM was markedly limited to all direction and sensation was decreased in the 1st and 2nd trigeminal division on the right.
Simple skull films and carotid angiogram showed no abnormality. In orbital venography, 3rd portion of the right ophthalmic vein was not visualized. Steroid was administered and improvement of EOM was : noted in the next day of therapy. On discharge, previous symptoms disappeared completely.
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