Tolosa Hunt syndrome (THS) is an idiopathic inflammatory condition that involves the cavernous sinus and orbital apex and is essentially a clinical diagnosis of exclusion.
Clinical presentation
Clinically it refers to the presence of a painful ophthalmoplegia secondary to surrounding cavernous sinus inflammation. The Tolosa Hunt syndrome is essentially a clinical diagnosis of exclusion.
Pathology
The constant pain which characterises the disorder is due to infiltration of lymphocytes and plasma cells, along with thickening of dura mater within the cavernous sinus.
Radiographic features
MRI
A 52 Y/F Patient Present with weakness in vision.
There is an ill defined soft tissue intensity lesion in left para-cavernous region appearing slightly hypointense on T2W images while isointense to brain parenchyma on T1W images.
The lesion is
involving orbital apex & superior orbital fissure.
There is intense
enhancement of lesion.
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| T1W Plain |
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| T1W Contrast |
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