Asian Journal of Research and Reports in Neurology

Mortal Aneurysm Rupture in a Rare Case of Steroid-resistant Tolosa-Hunt Syndrome

Anthoula C. Tsolaki *

Department of Neurology, 1st General Hospital of Thessaloniki “Agios Pavlos”, Thessaloniki, Greece.

Galaktion Konstantinidis

Department of Neurology, 1st General Hospital of Thessaloniki “Agios Pavlos”, Thessaloniki, Greece and Department of Neurology (3rd), Aristotle University of Thessaloniki, Thessaloniki, Greece.

Stavroula Koukou

Department of Neurology, 1st General Hospital of Thessaloniki “Agios Pavlos”, Thessaloniki, Greece.

Fotini Michali

Department of Neurology, 1st General Hospital of Thessaloniki “Agios Pavlos”, Thessaloniki, Greece.

Christina Manika

Department of Radiology, 1st General Hospital of Thessaloniki “Agios Pavlos”, Thessaloniki, Greece.

Nikolaos D. Michalis

Department of Neurology, 1st General Hospital of Thessaloniki “Agios Pavlos”, Thessaloniki, Greece.

*Author to whom correspondence should be addressed.

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Abstract

Tolosa-Hunt Syndrome is a rare condition characterized by painful ophthalmoparesis and idiopathic granulomatous inflammation of the cavernous sinus, classically extremely responsive to corticosteroid administration. We present a rare case of a 27-year-old man with Tolosa-Hunt Syndrome who did not respond to corticosteroids and the rupture of the co-existing internal carotid artery aneurysm caused his death.

Keywords: Tolosa-Hunt syndrome, ophthalmoplegia, cavernous ICA aneurysm

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