From the Departments of Neurology (Drs. Kang, Park, Son, Kwon, Choi, and Lim); and Radiology, (Drs. Choi and Ryoo), Gyeongsang Institute of Health Sciences, Gyeongsang National University College of Medicine, Jinju, Korea.
MRI in Tolosa-Hunt Syndrome Associated With Facial Nerve Palsy
Version of Record online: 21 FEB 2006
Headache: The Journal of Head and Face Pain
Volume 46, Issue 2, pages 336–339, February 2006
How to Cite
Kang, H., Park, K.-J., Son, S., Choi, D. S., Ryoo, J. W., Kwon, O.-Y., Choi, N.-C. and Lim, B. H. (2006), MRI in Tolosa-Hunt Syndrome Associated With Facial Nerve Palsy. Headache: The Journal of Head and Face Pain, 46: 336–339. doi: 10.1111/j.1526-4610.2006.00348_3.x
- Issue online: 21 FEB 2006
- Version of Record online: 21 FEB 2006
- Accepted for publication August 19, 2005.
- Tolosa-Hunt syndrome;
- facial paralysis;
- Bell's palsy;
- magnetic resonance imaging;
A 44-year-old woman developed a severe right frontotemporal headache, retro-orbital pain, and, later, diplopia owing to right sixth nerve palsy. The brain MRI demonstrated strong enhancement of the right cavernous sinus. The sixth nerve palsy and headache improved with steroid therapy after 6 weeks. At that time, she suffered right peripheral facial nerve palsy. Enhancement of the distal canalicular and labyrinthic segment of the right facial nerve was found on contrast-enhanced MRI. To our knowledge, this is a very rare case of Tolosa-Hunt syndrome with facial nerve palsy, with simultaneous enhancement of the cavernous sinus and facial nerve on contrast-enhanced MRI.