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Abstract

MR imaging of Tolosa-Hunt syndrome.

D M Yousem, S W Atlas, R I Grossman, R C Sergott, P J Savino and T M Bosley
American Journal of Neuroradiology November 1989, 10 (6) 1181-1184;
D M Yousem
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.
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S W Atlas
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.
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R I Grossman
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.
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R C Sergott
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.
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P J Savino
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.
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T M Bosley
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.
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Abstract

The Tolosa-Hunt syndrome consists of painful ophthalmoplegia caused by cavernous sinus inflammation, which is responsive to steroid therapy. The MR features of 11 patients with the clinical diagnosis of Tolosa-Hunt syndrome were studied. Two patients had normal MR studies of the orbit and cavernous sinuses. In nine patients, abnormal signal and/or mass lesions were seen in the cavernous sinuses; in eight cases, the abnormality was hypointense relative to fat and isointense with muscle on short TR/TE images and isointense with fat on long TR/TE scans. Extension into the orbital apex was seen in eight cases. In six of nine cases the affected cavernous sinus was enlarged; in five of nine it had a convex outer margin. One patient had a thrombosed cavernous sinus and superior ophthalmic vein in addition to a cavernous sinus soft-tissue mass. The signal intensity of Tolosa-Hunt syndrome in this limited series was similar to that of orbital pseudotumor and is confined to a limited differential diagnosis, which includes meningioma, lymphoma, and sarcoidosis.

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American Journal of Neuroradiology
Vol. 10, Issue 6
1 Nov 1989
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MR imaging of Tolosa-Hunt syndrome.
D M Yousem, S W Atlas, R I Grossman, R C Sergott, P J Savino, T M Bosley
American Journal of Neuroradiology Nov 1989, 10 (6) 1181-1184;

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MR imaging of Tolosa-Hunt syndrome.
D M Yousem, S W Atlas, R I Grossman, R C Sergott, P J Savino, T M Bosley
American Journal of Neuroradiology Nov 1989, 10 (6) 1181-1184;
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  • NOSOLOGICAL ENTITIES?: The Tolosa-Hunt syndrome
  • Extraorbital Inflammatory Pseudotumor of the Head and Neck: CT and MR Findings in Three Patients
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