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Volume: 32  Issue: 3  Year: 2020
 

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The Coexistence of Tolosa-Hunt Syndrome and Diabetic Cranial Mononeuropathy: A Case Report and a Review of Literature [Ağrı]
Ağrı. 2014; 26(2): 87-92 | DOI: 10.5505/agri.2014.89421  

The Coexistence of Tolosa-Hunt Syndrome and Diabetic Cranial Mononeuropathy: A Case Report and a Review of Literature

Işıl Yazıcı, Alp Sarıteke, Yaşar Zorlu
İzmir Tepecik Educational And Research Hospital, Department Of Neurology

Tolosa-Hunt syndrome(THS) is described as painful ophtalmoplegia caused by nonspesific inflammation of cavernous sinus or superior orbital fissure, which is response to steroid theraphy. Cranial neuropathies in diabetic patients are extremely rare and occur in older patients with poorly controlled diabetes.
56 year old diabetic female patient who developed simultaneous right VI., left III., IV., VI., VII. and maxiller branch of trigeminal nerve palsies with acute periorbital pain applied to our outpatient clinic. Although the coexistence of THS and diabetic cranial neuropathy is an uncommon condition, this should be considered as a possible diagnosis on patients who are admitted with painful ophtalmoplegia and simultaneous multipl cranial neuropathies. We approved to present our diabetic patient with cranial magnetic imaging because of this interesting unity and fasial nerve palsy accompanying to THS.

Keywords: Tolosa-Hunt syndrome, painful ophtalmoplegia, corticotherapy


Tolosa-Hunt Sendromu ve Diyabetik Kraniyal Mononöropati Birlikteliği: Olgu Sunumu ve Gözden Geçirme

Işıl Yazıcı, Alp Sarıteke, Yaşar Zorlu
İzmir Tepecik Eğitim Ve Araştırma Hastanesi Nöroloji Kliniği

Tolosa-Hunt sendromu (THS) ağrılı oftalmopleji ile prezente olan, steroide yanıtlı, kavernöz sinüs/superior orbital fissür'ün inflamasyonunun neden olduğu bir hastalıktır. Diyabetik hastalarda kraniyal nöropati nadir görülmekle birlikte yaşlı ve düzenli kan şekeri takibi yapılmayan hastalarda sık görülür.
56 yaşında kadın hasta periorbital ağrı ile eş zamanlı başlayan sağ VI., sol III., IV., VI., VII. kraniyal sinirler ve trigeminal sinirin maksiller dalı tutulumu ile başvurdu. THS ve diyabetik kraniyal nöropati birlikteliği sık görülmemekle birlikte eşzamanlı başlayan multipl kraniyal sinir felci ve ağrılı oftalmoplejisi olan hastalarda tanıda düşünülmelidir. Diyabetik hastamızı ilginç birliktelik ve THS’na fasiyal sinir felcinin de eşlik etmesi nedeniyle tipik kraniyal magnetik rezonans (MR) görüntüleri ile sunmayı uygun bulduk.

Anahtar Kelimeler: Tolosa-Hunt sendromu, ağrılı oftalmopleji, kortikoterapi


Işıl Yazıcı, Alp Sarıteke, Yaşar Zorlu. The Coexistence of Tolosa-Hunt Syndrome and Diabetic Cranial Mononeuropathy: A Case Report and a Review of Literature. Ağrı. 2014; 26(2): 87-92

Corresponding Author: Işıl Yazıcı, Türkiye


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