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A case of Tolosa-Hunt syndrome with ocular hypertension Masahito Imaizumi 1 , Naoko Kishimoto 1 , Takuya Kitamura 1 , Takashi Itagaki 1 , Nobuo Kashiwagi 2 1Dept of Ophthalmol, Suita Municipal Hosp 2Dept of Radiol, Suita Municipal Hosp pp.1051-1054
Published Date 1997/5/15
DOI https://doi.org/10.11477/mf.1410908802
  • Abstract
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A 48-year-old male presented with diplopia and lid swelling in the right eye. The intraocular pressure was 40 mmHg right and 16 mmHg left. The right eye showed exophthalmos, conjunctival injection and chemosis. Magnetic resonance imaging (MRI) showed a granulomatous mass extending from the right cavernous sinus to upper orbital fissure. Ocular hypertension appeared to have been caused by stagnation of the ophthalmic vein secondary to the granulomatous mass. He was diagnosed as Tolosa-Hunt syndrome. Treatment with high dosis of systemic corticosteroid was followed by improvement of MRI findings and disappearance of exophthalmos, restricted ocular motility and ocular hypertension.


Copyright © 1997, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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