Tolosa-Hunt Sendromu ve Diyabetik Kraniyal Monon�ropati Birlikteli�i:  Olgu Sunumu ve G�zden Ge�irme

Yaz�c�, I��l; Sar�teke, Alp; Zorlu, Ya�ar

ISSN : 1300-0012 E-ISSN 2458-9446

Anasayfa | �leti�im | ENG

Cilt: 36 Say�: 2 Y�l: 2024

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Tolosa-Hunt Sendromu ve Diyabetik Kraniyal Monon�ropati Birlikteli�i: Olgu Sunumu ve G�zden Ge�irme [A�r�]

A�r�. 2014; 26(2): 87-92 | DOI: 10.5505/agri.2014.89421

Tolosa-Hunt Sendromu ve Diyabetik Kraniyal Monon�ropati Birlikteli�i: Olgu Sunumu ve G�zden Ge�irme

I��l Yaz�c�, Alp Sar�teke, Ya�ar Zorlu
�zmir Tepecik E�itim Ve Ara�t�rma Hastanesi N�roloji Klini�i

Tolosa-Hunt sendromu (THS) a�r�l� oftalmopleji ile prezente olan, steroide yan�tl�, kavern�z sin�s/superior orbital fiss�r'�n inflamasyonunun neden oldu�u bir hastal�kt�r. Diyabetik hastalarda kraniyal n�ropati nadir g�r�lmekle birlikte ya�l� ve d�zenli kan �ekeri takibi yap�lmayan hastalarda s�k g�r�l�r.
56 ya��nda kad�n hasta periorbital a�r� ile e� zamanl� ba�layan sa� VI., sol III., IV., VI., VII. kraniyal sinirler ve trigeminal sinirin maksiller dal� tutulumu ile ba�vurdu. THS ve diyabetik kraniyal n�ropati birlikteli�i s�k g�r�lmemekle birlikte e�zamanl� ba�layan multipl kraniyal sinir felci ve a�r�l� oftalmoplejisi olan hastalarda tan�da d��n�lmelidir. Diyabetik hastam�z� ilgin� birliktelik ve THS�na fasiyal sinir felcinin de e�lik etmesi nedeniyle tipik kraniyal magnetik rezonans (MR) g�r�nt�leri ile sunmay� uygun bulduk.

Anahtar Kelimeler: Tolosa-Hunt sendromu, a�r�l� oftalmopleji, kortikoterapi

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

I��l Yaz�c�, Alp Sar�teke, Ya�ar Zorlu
�zmir 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

I��l Yaz�c�, Alp Sar�teke, Ya�ar Zorlu. The Coexistence of Tolosa-Hunt Syndrome and Diabetic Cranial Mononeuropathy: A Case Report and a Review of Literature. A�r�. 2014; 26(2): 87-92

Sorumlu Yazar: I��l Yaz�c�, T�rkiye

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