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Jan Hannerz - One of the best experts on this subject based on the ideXlab platform.

  • Recurrent Tolosa-Hunt Syndrome: a report of ten new cases.
    Cephalalgia, 1999
    Co-Authors: Jan Hannerz
    Abstract:

    Ten patients (6F, 4M) with recurrent Tolosa-Hunt Syndrome are reported. Besides ocular motor symptoms, one patient had trigeminal nerve involvement, one had ipsilateral ocular sympathicoplegia with...

  • Recurrent Tolosa-Hunt Syndrome: a report of ten new cases.
    Cephalalgia : an international journal of headache, 1999
    Co-Authors: Jan Hannerz
    Abstract:

    Ten patients (6F, 4M) with recurrent Tolosa-Hunt Syndrome are reported. Besides ocular motor symptoms, one patient had trigeminal nerve involvement, one had ipsilateral ocular sympathicoplegia with miosis and ptosis, and one tinnitus during an episode of Tolosa-Hunt Syndrome, ipsilateral to the pain side. One patient had Bell's palsy, one had a possible Raeder's Syndrome, and one had a period of tinnitus between the Tolosa-Hunt Syndrome episodes. Three of the 10 patients reported periods of periocular pain without ophthalmoplegia between the Tolosa-Hunt episodes, the pain located ipsilateral to the ophthalmoplegic side in the Tolosa-Hunt episodes. Systemic symptoms associated with Tolosa-Hunt Syndrome, e.g., back pain, chronic fatigue, arthralgia, gut problems among others, occurred with the same frequency in these 10 patients as in an earlier report. Seventy per cent of the patients had signs of inflammation in serum during a period of Tolosa-Hunt Syndrome. Orbital phlebograms showed pathologic signs in four of the five patients investigated during a Tolosa-Hunt period. One phlebogram was normal in a sixth patient when performed during a period of unilateral periocular pain without ophthalmolegia. Magnetic resonance imaging of the head (with contrast) was only performed in three patients during the Tolosa-Hunt period: one showed signs of inflammation in the middle fossa and two were normal. In one of the patients with normal magnetic resonance imaging, the orbital phlebogram was pathologic. Steroid treatment promptly relieved the pain in all patients.

  • Recurrent Tolosa-Hunt Syndrome.
    Cephalalgia, 1992
    Co-Authors: Jan Hannerz
    Abstract:

    Twenty consecutive patients with recurrent Tolosa-Hunt Syndrome were studied. One had a parent who suffered from recurrent Tolosa-Hunt Syndrome. Thirty-three percent of the patients had also recurrent periods of weeks to months of unilateral periorbital pain without ophthalmoplegia. One patient had cluster headache before the Tolosa-Hunt Syndrome started. Some patients had involvement of cranial nerves outside the cavernous sinus region during Tolosa-Hunt Syndrome and also between episodes. The same systemic symptoms, i.e. back pain, cold feet, arthralgia, gut problems, varices, vertigo, chronic fatigue, thrombophlebitis, memory deficiency and signs of inflammation in serum, occurred in Tolosa-Hunt Syndrome as earlier found in patients with orbital venous vasculitis. Seventy-three percent of the patients had pathologic orbital phlebograms. All patients treated with steroids reacted promptly; four who developed chronic pain Syndromes were treated satisfactorily with azathioprine.

Julio Pascual - One of the best experts on this subject based on the ideXlab platform.

  • Neuroimaging diagnosis of Tolosa-Hunt Syndrome: MRI contribution.
    Headache, 1999
    Co-Authors: A. Alvarez De Arcaya, Aytun Çanga, José M. Polo, Luis Cerezal, José Berciano, Julio Pascual
    Abstract:

    Objective.—To present our experience in the neuroradiological diagnosis of six patients with Tolosa-Hunt Syndrome. Methods.—Computerized tomograms and MRI, with and without contrast enhancement, of the cranium and orbits of patients fulfilling IHS criteria for the diagnosis of Tolosa-Hunt Syndrome were analyzed. Results.—Standard CT scan, with and without contrast enhancement, disclosed an enlarged cavernous sinus in one patient and was normal in the remaining five. In comparison, MRI was clearly abnormal in the four patients on whom it was performed, showing a convex enlargement of the symptomatic cavernous sinus by an abnormal tissue isointense with gray matter on short TR/TE images and iso-hypointense on long TR/TE scans. This abnormal tissue markedly increased in signal intensity after contrast injection and, in two patients, extended into contiguous regions, mainly the orbital apex and subtemporal fossa ipsilaterally. One patient had follow-up studies after successful treatment with corticosteroids. Although diminished in size, the abnormal tissue was still visible on MRI after 3 months of treatment and only disappeared after 6 months of treatment. Conclusions.—These MRI findings help in the differential diagnosis of the Tolosa-Hunt Syndrome from conditions such as meningioma, lymphoma, and sarcoidosis, as well as confirming the similarities of the Tolosa-Hunt Syndrome and orbital pseudotumor. In the presence of painful ophthalmoplegia, the finding by MRI of cavernous sinus enlargement, with the herein described signal and extension characteristics and slow resolution with corticosteroid treatment, is highly suggestive of the Tolosa-Hunt Syndrome.

  • Tolosa-Hunt Syndrome: focus on MRI diagnosis.
    Cephalalgia, 1999
    Co-Authors: Julio Pascual, A. Alvarez De Arcaya, Aytun Çanga, José M. Polo, Luis Cerezal, José Berciano
    Abstract:

    Experience with modern neuroimaging techniques, computed tomography (CT) and magnetic resonance imaging (MRI) scans, in the diagnosis of Tolosa-Hunt Syndrome (THS) is reviewed. Conventional CT scan...

José Berciano - One of the best experts on this subject based on the ideXlab platform.

  • Neuroimaging diagnosis of Tolosa-Hunt Syndrome: MRI contribution.
    Headache, 1999
    Co-Authors: A. Alvarez De Arcaya, Aytun Çanga, José M. Polo, Luis Cerezal, José Berciano, Julio Pascual
    Abstract:

    Objective.—To present our experience in the neuroradiological diagnosis of six patients with Tolosa-Hunt Syndrome. Methods.—Computerized tomograms and MRI, with and without contrast enhancement, of the cranium and orbits of patients fulfilling IHS criteria for the diagnosis of Tolosa-Hunt Syndrome were analyzed. Results.—Standard CT scan, with and without contrast enhancement, disclosed an enlarged cavernous sinus in one patient and was normal in the remaining five. In comparison, MRI was clearly abnormal in the four patients on whom it was performed, showing a convex enlargement of the symptomatic cavernous sinus by an abnormal tissue isointense with gray matter on short TR/TE images and iso-hypointense on long TR/TE scans. This abnormal tissue markedly increased in signal intensity after contrast injection and, in two patients, extended into contiguous regions, mainly the orbital apex and subtemporal fossa ipsilaterally. One patient had follow-up studies after successful treatment with corticosteroids. Although diminished in size, the abnormal tissue was still visible on MRI after 3 months of treatment and only disappeared after 6 months of treatment. Conclusions.—These MRI findings help in the differential diagnosis of the Tolosa-Hunt Syndrome from conditions such as meningioma, lymphoma, and sarcoidosis, as well as confirming the similarities of the Tolosa-Hunt Syndrome and orbital pseudotumor. In the presence of painful ophthalmoplegia, the finding by MRI of cavernous sinus enlargement, with the herein described signal and extension characteristics and slow resolution with corticosteroid treatment, is highly suggestive of the Tolosa-Hunt Syndrome.

  • Tolosa-Hunt Syndrome: focus on MRI diagnosis.
    Cephalalgia, 1999
    Co-Authors: Julio Pascual, A. Alvarez De Arcaya, Aytun Çanga, José M. Polo, Luis Cerezal, José Berciano
    Abstract:

    Experience with modern neuroimaging techniques, computed tomography (CT) and magnetic resonance imaging (MRI) scans, in the diagnosis of Tolosa-Hunt Syndrome (THS) is reviewed. Conventional CT scan...

Magda Tsolaki - One of the best experts on this subject based on the ideXlab platform.

A. Alvarez De Arcaya - One of the best experts on this subject based on the ideXlab platform.

  • Neuroimaging diagnosis of Tolosa-Hunt Syndrome: MRI contribution.
    Headache, 1999
    Co-Authors: A. Alvarez De Arcaya, Aytun Çanga, José M. Polo, Luis Cerezal, José Berciano, Julio Pascual
    Abstract:

    Objective.—To present our experience in the neuroradiological diagnosis of six patients with Tolosa-Hunt Syndrome. Methods.—Computerized tomograms and MRI, with and without contrast enhancement, of the cranium and orbits of patients fulfilling IHS criteria for the diagnosis of Tolosa-Hunt Syndrome were analyzed. Results.—Standard CT scan, with and without contrast enhancement, disclosed an enlarged cavernous sinus in one patient and was normal in the remaining five. In comparison, MRI was clearly abnormal in the four patients on whom it was performed, showing a convex enlargement of the symptomatic cavernous sinus by an abnormal tissue isointense with gray matter on short TR/TE images and iso-hypointense on long TR/TE scans. This abnormal tissue markedly increased in signal intensity after contrast injection and, in two patients, extended into contiguous regions, mainly the orbital apex and subtemporal fossa ipsilaterally. One patient had follow-up studies after successful treatment with corticosteroids. Although diminished in size, the abnormal tissue was still visible on MRI after 3 months of treatment and only disappeared after 6 months of treatment. Conclusions.—These MRI findings help in the differential diagnosis of the Tolosa-Hunt Syndrome from conditions such as meningioma, lymphoma, and sarcoidosis, as well as confirming the similarities of the Tolosa-Hunt Syndrome and orbital pseudotumor. In the presence of painful ophthalmoplegia, the finding by MRI of cavernous sinus enlargement, with the herein described signal and extension characteristics and slow resolution with corticosteroid treatment, is highly suggestive of the Tolosa-Hunt Syndrome.

  • Tolosa-Hunt Syndrome: focus on MRI diagnosis.
    Cephalalgia, 1999
    Co-Authors: Julio Pascual, A. Alvarez De Arcaya, Aytun Çanga, José M. Polo, Luis Cerezal, José Berciano
    Abstract:

    Experience with modern neuroimaging techniques, computed tomography (CT) and magnetic resonance imaging (MRI) scans, in the diagnosis of Tolosa-Hunt Syndrome (THS) is reviewed. Conventional CT scan...