Tolosa-Hunt Syndrome with Unusual Clinical Courses : Two Case Reports
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概要
- 論文の詳細を見る
Two cases of Tolosa-Hunt syndrome with unusual clinical courses are described. The clinical onset of the first patient was typical, but was unresponsive to steroid hormone treatment. The symptoms resolved spontaneously after 1 year. Computed tomography (CT) and magnetic resonance (MR) imaging revealed enlargement of the affected cavernous sinus, which did not change after the symptoms resolved. The clinical presentation in the second patient included marked pupillary dilatation, a sign which is absent in the classical criteria. CT showed no abnormal findings, but MR imaging revealed a mass located in the medial side of the cavernous sinus extending to the lateral wall, which might have caused the pupillary dilatation. After steroid therapy the symptoms disappeared and MR imaging showed remarkable reduction of the mass in the cavernous sinus. Tolosa-Hunt syndrome usually responds promptly to steroid therapy and rarely manifests marked pupillary dilatation. Such variation in presentation adds to the difficulties in diagnosis and treatment of this disease of unknown etiology.
- 日本脳神経外科学会の論文
- 1995-01-15
著者
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OGURA Yuko
Departments of Radiology, Fujita Health University School of Medicine
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Nomura Masayo
Department of Geriatric Dentistry, Osaka Dental University
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Sano Hirotoshi
Department of Neurosurgery, Fujita Health University School of Medicine
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KANNO Tetsuo
Department of Neurosurgery, Fujita Health University
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Ogura Yuko
Department Of Analytical And Bioinorganic Chemistry Kyoto Pharmaceutical University
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Ogura Yuko
Departments Of Radiology Fujita Health University School Of Medicine
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Kanno Tetsuo
Departments Of Neurosurgery Fujita Health University School Of Medicine
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Kanno Tetsuo
Department Of Neurosurgery Faculty Of Medicine University Nagoya Fujita Gakuen
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Kiya Nobuo
Departments Of Neurosurgery Fujita Health University School Of Medicine
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Sano Hirotoshi
Department Of Chemistry Faculty Of Science Tokyo Metropolitan University
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Sano Hirotoshi
Departments Of Neurosurgery Fujita Health University School Of Medicine
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Nomura Masayo
Department Of Food And Nutrition Kyoto Women's University
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Nomura Masayo
Departments Of Neurology Fujita Health University School Of Medicine
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IMAI Fumihiro
Departments of Neurosurgery, Fujita Health University School of Medicine
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GIREESH Kunjuraman
Departments of Neurosurgery, Fujita Health University School of Medicine
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Imai Fumihiro
Departments Of Neurosurgery Fujita Health University School Of Medicine
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Gireesh Kunjuraman
Departments Of Neurosurgery Fujita Health University School Of Medicine
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Nomura Masayo
Department Of Dermatology Gifu Prefecture General Hospital Of Medicine
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Sano Hirotoshi
Department of Chemistry Faculty of Science The University of Tokyo
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Sano Hirotoshi
Deparment of Chemistry, Faculty of Science, Tokyo Metropolitan University
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