Tolosa-Hunt Syndrome Associated with Cytomegalovirus Infection
スポンサーリンク
概要
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We herein present the case of a 38-year-old woman with left-sided oculomotor paralysis with ocular pain that developed after a respiratory infection. Her serum was positive for IgM against GM2 and GalNAc-GD1a gangliosides and cytomegalovirus. Thin-slice magnetic resonance imaging revealed enhanced abnormal tissue located primarily in the superolateral part of the left-sided cavernous sinus, which corticosteroids subsequently obscured with immediate resolution of the patient's ocular symptoms. These clinical features were consistent with those of Tolosa-Hunt syndrome (THS). Our findings in the present patient suggest that cytomegalovirus may provoke granuloma formation in the cavernous sinus, as reported in other various organs, thereby leading to the development of THS.
著者
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Otani Takahiro
Department Of Radiology Akita University School Of Medicine
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Kusunoki Susumu
Department Of Neurology Graduate School Of Medicine University Of Tokyo
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Okawa Satoshi
Department Of Computer Software Of The University Of Aizu
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Ohnishi Hirohide
Department Of Gastroenterology Akita University Graduate School Of Medicine /department Of Gastroent
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Takahashi Satoshi
Departmanets Of Immunology Graduate School Of Medical And Dental Sciences Niigata University
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Hashimoto Manabu
Department of Integrated Medicine, Division of Radiation Medicine, Akita University Graduate School of Medicine
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Okawa Satoshi
Department of Neurology, Akita University Graduate School of Medicine, Japan
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Sugawara Masashiro
Department of Neurology, Akita University Graduate School of Medicine, Japan
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Otani Takahiro
Department of Radiology, Akita University Graduate School of Medicine, Japan
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Hashimoto Manabu
Department of Radiology, Akita University Graduate School of Medicine, Japan
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