Skip to main content
Top
Published in: Acta Neurochirurgica 1/2016

01-01-2016 | Case Report - Functional

Gamma Knife radiosurgery in steroid-intolerant Tolosa-Hunt syndrome: case report

Authors: Jong-Myong Lee, Jung-Soo Park, Eun-Jeong Koh

Published in: Acta Neurochirurgica | Issue 1/2016

Login to get access

Abstract

Tolosa-Hunt syndrome is a rare cause of painful ophthalmoplegia due to idiopathic chronic granulomatous inflammation in the cavernous sinus. Usually clinical manifestations are well controlled by corticosteroid therapy, but steroid dependency or resistance is common. We report a case of marked improvement of Tolosa-Hunt syndrome without symptom relapse after Gamma Knife radiosurgery in a patient with steroid intolerance.
Literature
1.
go back to reference Chkhikvishvili T, Khevsuriani Sh O, Gegechkori MV, Abelashvili RI, Kurtishvili GG (1978) Diagnosis and treatment of the Tolosa-Hunt syndrome. Zh Nevropatol Psikhiatr Im S S Korsakova 78:204–206 Chkhikvishvili T, Khevsuriani Sh O, Gegechkori MV, Abelashvili RI, Kurtishvili GG (1978) Diagnosis and treatment of the Tolosa-Hunt syndrome. Zh Nevropatol Psikhiatr Im S S Korsakova 78:204–206
2.
go back to reference Headache Classification Committee of the International Headache S (2013) The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 33:629–808CrossRef Headache Classification Committee of the International Headache S (2013) The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 33:629–808CrossRef
3.
go back to reference Hunt WE, Meagher JN, Lefever HE, Zeman W (1961) Painful opthalmoplegia. Its relation to indolent inflammation of the carvernous sinus. Neurology 11:56–62PubMedCrossRef Hunt WE, Meagher JN, Lefever HE, Zeman W (1961) Painful opthalmoplegia. Its relation to indolent inflammation of the carvernous sinus. Neurology 11:56–62PubMedCrossRef
4.
go back to reference Tolosa E (1954) Periarteritic lesions of the carotid siphon with the clinical features of a carotid infraclinoidal aneurysm. J Neurol Neurosurg Psychiatry 17:300–302PubMedCentralPubMedCrossRef Tolosa E (1954) Periarteritic lesions of the carotid siphon with the clinical features of a carotid infraclinoidal aneurysm. J Neurol Neurosurg Psychiatry 17:300–302PubMedCentralPubMedCrossRef
5.
go back to reference Foubert-Samier A, Sibon I, Maire JP, Tison F (2005) Long-term cure of Tolosa-Hunt syndrome after low-dose focal radiotherapy. Headache 45:389–391PubMedCrossRef Foubert-Samier A, Sibon I, Maire JP, Tison F (2005) Long-term cure of Tolosa-Hunt syndrome after low-dose focal radiotherapy. Headache 45:389–391PubMedCrossRef
6.
go back to reference Furukawa Y, Yamaguchi W, Ito K, Hamada T, Miyaji H, Tamamura H, Yamada M (2010) The efficacy of radiation monotherapy for Tolosa-Hunt syndrome. J Neurol 257:288–290PubMedCrossRef Furukawa Y, Yamaguchi W, Ito K, Hamada T, Miyaji H, Tamamura H, Yamada M (2010) The efficacy of radiation monotherapy for Tolosa-Hunt syndrome. J Neurol 257:288–290PubMedCrossRef
7.
go back to reference Larner JM, Malcom R, Miller JQ, Newman SA (1991) Tolosa-Hunt syndrome—a radiation responsive syndrome. Neuro-Ophthalmology 11:289–292CrossRef Larner JM, Malcom R, Miller JQ, Newman SA (1991) Tolosa-Hunt syndrome—a radiation responsive syndrome. Neuro-Ophthalmology 11:289–292CrossRef
8.
go back to reference Mormont E, Laloux P, Vauthier J, Ossemann M (2000) Radiotherapy in a case of Tolosa-Hunt syndrome. Cephalalgia 20:931–933PubMedCrossRef Mormont E, Laloux P, Vauthier J, Ossemann M (2000) Radiotherapy in a case of Tolosa-Hunt syndrome. Cephalalgia 20:931–933PubMedCrossRef
9.
go back to reference Nasr YG, Boghen D, Vezina J (1987) Tolosa-Hunt syndrome with a prolonged course - successful treatment with radiotherapy. Neuro-Ophthalmology 7:57–60CrossRef Nasr YG, Boghen D, Vezina J (1987) Tolosa-Hunt syndrome with a prolonged course - successful treatment with radiotherapy. Neuro-Ophthalmology 7:57–60CrossRef
11.
go back to reference Jain R, Sawhney S, Koul RL, Chand P (2008) Tolosa-Hunt syndrome: MRI appearances. J Med Imaging Radiat Oncol 52:447–451PubMedCrossRef Jain R, Sawhney S, Koul RL, Chand P (2008) Tolosa-Hunt syndrome: MRI appearances. J Med Imaging Radiat Oncol 52:447–451PubMedCrossRef
12.
go back to reference Luchin EI, Minakova EI, Krymskii VA (1987) Effect of proton irradiation of Tolosa-Hunt syndrome. Med Radiol (Mosk) 32:55–57 Luchin EI, Minakova EI, Krymskii VA (1987) Effect of proton irradiation of Tolosa-Hunt syndrome. Med Radiol (Mosk) 32:55–57
Metadata
Title
Gamma Knife radiosurgery in steroid-intolerant Tolosa-Hunt syndrome: case report
Authors
Jong-Myong Lee
Jung-Soo Park
Eun-Jeong Koh
Publication date
01-01-2016
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 1/2016
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-015-2648-5

Other articles of this Issue 1/2016

Acta Neurochirurgica 1/2016 Go to the issue

How I Do it - Neurosurgical Techniques

Anterior temporal lobectomy