톨로사 헌트 증후군에 대한 임상적 고찰

• 영문명: Clinical Observations on Tolosa-Hunt Syndrome
• 발행기관: 대한안과학회
• 저자명: 이한기 이슬기,Han Kee Lee, MD, Sul Gee Lee, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number11, 1717~1723쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.11.15

영문 초록

Purpose: The authors reviewed clinical features, response to treatment and recurrence rate of Tolosa-Hunt syndrome. Methods: A retrospective chart review was performed on 6 patients, who fulfilled the diagnosis for Tolosa-Hunt syndrome according to the International Headache Society (IHS) classification of 2004. Results: Every patient had orbital pain as a first symptom, followed by cranial nerve paresis. The third cranial nerve was most commonly involved (83.3%), followed by the sixth nerve (50%), the forth nerve (16.7%), and the first branch of the fifth cranial nerve (16.7%). Two of the patients showed multiple cranial nerve paresis (33.3%, 2 out of 6). All patients received high-dose steroid therapy for more than 5 days, and all patients had resolution of orbital pain within 72 hours of treatment. Full recovery of cranial nerve paresis occurred on average in 2.3 months (3 days to 12 months). During the 29 months of follow-up, 2 patients (33.3%) had a recurrence episode. Conclusions: Tolosa-Hunt syndrome responds well to steroid therapy, and full recovery is possible with proper treatment. The exact diagnosis and treatment of Tolosa-Hunt syndrome is important. Because Tolosa-Hunt syndrome often recurs after full recovery, the authors suggest a minimum follow-up period of 2 years. J Korean Ophthalmol Soc 2009;50(11):1717-1723

키워드

Painful ophthalmoplegia, Tolosa-Hunt syndrome