Tolosa-Hunt syndrome with reversible dissection aneurysm

作者：Zhou Zhiming; Zhou Guangyi; Lu Tingting; Xu Gelin; Liu Xinfeng^*

来源：Neurological Sciences, 2010, 31(6): 777-779.

DOI：10.1007/s10072-010-0231-7

• Aneurysm
• Carotid stenosis
• Cavernous sinus
• Dissection
• Tolosa-Hunt syndrome

A 49-year-old female presented with recurrent intolerable right retro-orbital pain, ptosis and diplopia for 4 months. Neurological evaluation revealed right oculomotor nerve and abducent nerve injuries. Neuroimaging found enlarged right cavernous sinus, right intracavernous carotid dissection aneurysm and a stenosis proximal to it. Tolosa Hunt syndrome (THS) was suggested and treated with steroid. The clinical symptoms were alleviated after the treatment. After 3 months of follow-up cerebral angiography showed the lesions of the right intracavernous carotid stenosis and the dissection almost disappeared. Therefore, we proposed that the dissection and the stenosis are directly induced by the inflammation of THS.

• 出版日期2010-12
• 单位南京大学