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Long-Term Cure of Tolosa-Hunt Syndrome After Low-Dose Focal

Authors

  • Alexandra Foubert-Samier,

  • Igor Sibon,

  • Jean-Phillipe Maire,

  • François Tison


  • From the Federation of Clinical Neurosciences, Neurology, Bordeaux (Drs. Foubert-Samier, Sibon, Tison); and Service de Radiotherapie, Radiotherapy, Bordeaux, France (Dr. Maire).

Address all correspondence to Igor Sibon, Federation of Clinical Neurosciences, Neurology, Bordeaux, France.

Abstract

Tolosa-Hunt syndrome (THS) is a rare cause of painful ophtalmoplegia due to chronic granulomatous inflammation of the cavernous sinus. While corticoids are the treatment of reference, corticodependence and corticoresistance are frequent, hence radiotherapy has been proposed as an alternative treatment. We report a case of long-term improvement (8 years) of THS after low-dose (20 Gy) radiotherapy in a patient with recurrences and corticodependence.

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