Tolosa-Hunt Syndrome with Atypical Intrasellar and Juxtasellar Lesions Two Case Reports

YOSHIHIKO TAKAHASHI; TOSHI ABE; KAZUYUKI KOJIMA; SATOSHI OCHIAI; JUN MIYAGI; MINORU SHIGEMORI

doi:10.2739/kurumemedj.43.165

Tolosa-Hunt Syndrome with Atypical Intrasellar and Juxtasellar Lesions

Two Case Reports

YOSHIHIKO TAKAHASHI, TOSHI ABE, KAZUYUKI KOJIMA, SATOSHI OCHIAI, JUN MIYAGI, MINORU SHIGEMORI

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Keywords: Tolosa-Hunt syndrome, MRI, cavernous sinus, nonspecific inflammatory qranulomatosis, meningeal enhancement

JOURNAL FREE ACCESS

1996 Volume 43 Issue 2 Pages 165-170

DOI https://doi.org/10.2739/kurumemedj.43.165

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Abstract

Two patients with Tolosa-Hunt syndrome (THS) who had atypical lesions in the intrasellar and juxtasellar regions are reported. They manifested with painful ophthalmoplegia. Magnetic resonance imaging (MRI) commonly showed an increase in the volume of the cavernous sinus occupied by homogeneously well-enhanced lesions in both cases. These lesions extended to the intrasellar and juxtasellar regions with meningeal enhancement. Follow-up MRI after steroid treatment demonstrated normal-ized or decreased size of the cavernous sinus. These findings suggested nonspecific inflammatory granulomatosis with atypical extension.

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