The evaluation of ICHD-3 beta diagnostic criteria for Tolosa-Hunt syndrome: a study of 22 cases of Tolosa-Hunt syndrome

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
Rui HaoYifeng Ke

Abstract

The objective of the study was to evaluate the amended International Classification of Headache Disorders (third edition, beta version, ICHD-3 beta) with a retrospective analysis. A total of 22 patients diagnosed with painful ophthalmoplegia and Tolosa-Hunt syndrome (THS) in our hospital were retrospectively studied. The following clinical data were collected: symptoms, signs, location of inflammatory tissue, time interval of paresis following the onset of pain, pain and signs of resolution, follow-up and relapse. Pain and diplopia were found in 22 (100 %) and 20 cases (91 %). The sympathetic nerve was involved in 6 cases (27 %). Paresis followed the pain for an average of 8 ± 5.87 days. Serial magnetic resonance imaging (MRI) revealed granulomatous lesion that was visible in 20 patients (91 %). 19 patients (86 %) demonstrated the lesions located in the cavernous sinus, orbital apex or superior orbital fissure. One lesion extended to the intracranial structure. Pain was relieved in 20 cases (91 %) within 72 h and no patient had complete relief from paresis. According to our study, we think the time course of relief should be undefined. Headache location is hard to describe accurately. Normal MRI should be involved in THS diagno...Continue Reading

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Citations

Sep 16, 2015·Semergen·E G Laura AsilloI Matos Rojas
Jul 31, 2016·Current Pain and Headache Reports·Gabriella Szatmáry
Apr 13, 2017·Cephalalgia : an International Journal of Headache·Stefan Evers
Oct 17, 2017·Endocrine·Renata Świątkowska-StodulskaKrzysztof Sworczak
Jan 16, 2016·Journal of Korean Medical Science·Byung-Kun KimHeui-Soo Moon
Apr 30, 2019·Frontiers in Neurology·Tu M TranMichael S Lee
Jul 31, 2018·JA Clinical Reports·Rie IshikawaKumi Shirahama
May 29, 2021·BMC Ophthalmology·Hyuna Kim, Shin Yeop Oh
Jun 16, 2021·Journal français d'ophtalmologie·P DelvaulxM Cordonnier

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