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안면신경마비를 동반한 Tolosa-Hunt 증후군

Tolosa-Hunt Syndrome With Facial Nerve Palsy

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초록

olosa-Hunt syndrome is a painful ophthalmoplegia due to nonspecific granulomatous inflammation in the cavernous sinus. A 16-year-old man developed Tolosa-Hunt syndrome accompanied by facial nerve palsy. MRI showed an inflammatory lesion in the cavernous sinus with gadolinium enhancement. This rare presentation suggests that Tolosa-Hunt syndrome is a localized form of idiopathic hypertrophic pachymeningitis.

Abstract

olosa-Hunt syndrome is a painful ophthalmoplegia due to nonspecific granulomatous inflammation in the cavernous sinus. A 16-year-old man developed Tolosa-Hunt syndrome accompanied by facial nerve palsy. MRI showed an inflammatory lesion in the cavernous sinus with gadolinium enhancement. This rare presentation suggests that Tolosa-Hunt syndrome is a localized form of idiopathic hypertrophic pachymeningitis.

참고문헌 (10)

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  2. de Arcaya AA, "Neuroimaging diagnosis of Tolosa-Hunt syndrome: MRI contribution", Headache, 39, pp.321~325 (1999)
  3. Kline LB, "The Tolosa-Hunt syndrome", J Neurol Neurosurg Psychiatry, 71, pp.577~582 (2001)
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  5. Headahce Classification subcommittee of the International Headahe Society, "The International Classification of Headache Disorders: 2nd edition", Cephalalgia, 24(1), pp.9~160 (2004)
  6. Tessitore E, "Tolosa-Hunt syndrome preceded by facial palsy", Headache, 40, pp.393~396 (2000)
  7. Muthukumar N, "Idiopathic hyper- trophic cranial pachymeningitis masquerading as Tolosa-Hunt syndrome", J Clin Neurosci, 12, pp.589~592 (2005)
  8. Masson C, "Cranial pachymeningitis of unknown origin: a study of seven cases", Neurology, 43, pp.1329~1334 (1993)
  9. Miwa H, "Recurrent cranial neuropathy as a clinical presentation of idiopathic inflammation of the dura mater: a possible relationship to Tolosa-Hunt syndrome and cranial pachymeningitis", J Neurol Sci, 154, pp.101~105 (1998)
  10. Wasmeier C, "Idiopathic inflammatory pseudotumor of the orbit and Tolosa-Hunt syndrome-are they the same disease", J Neurol, 249, pp.1237~1241 (2002)

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