DR. ALIND MURKHE

Dr. TANESHWARI SUNDARKAR, DR. AJAB DHABARDE, DR.NIKITA BHOSALE

Abstract

BACKGROUND: Tolosa-Hunt syndrome is an idiopathic orbital or periorbital pain associated with paralysis of 3, 4, 6th cranial nerve secondary to non-specific inflammation of cavernous and/or superior orbital fissure or orbital apex.

CASE PRESENTATION: A 61 yr old female came with complaints pain and redness in BE along with drooping of eyelid (RE>LE) since 5 days. On examination RE VA was FC 2 MT, PR inaccurate in inferior quadrant, restricted movements in all gazes, complete ptosis, conjunctival congestion and chemosis, pupillary reaction-RAPD grade 2, fundus shows disc pallor. In LE, VA was 6/18, PR accurate, restricted movements in all gazes, severe ptosis, conjunctival congestion and chemosis, pupil shows sluggish reaction to light, fundus was WNL.

MANAGEMENT: MRI orbit showed enlargement of the extraocular muscles. Patient was treated with intravenous steroids and antibiotics and was improved.

CONCLUSION: Tolosa-Hunt syndrome is rare disorder, respond well to systemic steroids.