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KMID : 0359720210390040343
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Journal of the Korean Neurological Association
2021 Volume.39 No. 4 p.343 ~ p.346
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Tolosa-Hunt Syndrome Presenting as Cluster-Like Headache
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Cho Ja-Hyeon
Kim Seon-Jeong
Kim Dae-Hyun
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Abstract
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A 48-year-old man came with a left-sided headache that was compatible with diagnostic criteria of cluster headache. Left oculomotor nerve palsy developed 2 weeks after headache onset. Magnetic resonance imaging showed wall thickening and enhancement by contrast material in the lateral aspect of the left cavernous sinus, consistent with a possible inflammatory lesion. The patient reported the almost complete remission of the pain and diplopia after steroid therapy. We speculate that Tolosa-Hunt syndrome should be included as a cause of cluster-like headaches.
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KEYWORD
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Cluster headache, Cavernous sinus, Inflammation
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