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Titolo:
Meningioma presenting as Tolosa-Hunt syndrome
Autore:
Leijzer, CTJM; Prevo, RL; Hageman, G;
Indirizzi:
Med Spectrum Twente, Dept Neurol, Enschede, Netherlands Med Spectrum Twente Enschede Netherlands Neurol, Enschede, Netherlands Med Spectrum Twente, Dept Neuroradiol, Enschede, Netherlands Med Spectrum Twente Enschede Netherlands oradiol, Enschede, Netherlands
Titolo Testata:
CLINICAL NEUROLOGY AND NEUROSURGERY
fascicolo: 1, volume: 101, anno: 1999,
pagine: 19 - 22
SICI:
0303-8467(199903)101:1<19:MPATS>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
CAVERNOUS SINUS;
Keywords:
meningioma; MRI; steroids; Tolosa-Hunt syndrome;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Leijzer, CTJM Med Spectrum Twente, Dept Neurol, Enschede, Netherlands Med Spectrum Twente Enschede Netherlands ede, Netherlands
Citazione:
C.T.J.M. Leijzer et al., "Meningioma presenting as Tolosa-Hunt syndrome", CLIN NEUROL, 101(1), 1999, pp. 19-22

Abstract

A 23-year-old woman was admitted with headache, nausea, vomiting and blurred vision on the left side. Neurological examination showed ptosis with a complete internal and external ophthalmoplegia and a red fullness around theleft orbita. Computed tomographic scanning of the brain revealed no abnormalities. As she improved on high doses of steroids a diagnosis of Tolosa-Hunt syndrome (THS) seemed to be indicated. However, magnetic resonance imaging (MRI) showed a lesion with intermediate signal intensity in the left cavernous sinus. Craniotomy was performed when symptoms of THS recurred. Histopathological examination revealed a meningioma with a papillary aspect and some mitoses. This case illustrates that: (1) THS is still a diagnosis by exclusion; (2) MRI and histopathological examination are important if there is any doubt about the diagnosis; and (3) also when there is no doubt, improvement after steroid therapy may be a diagnostic pitfall. Therefore, not only MRI but also orbital phlebography and angiography should seriously be considered. (C) 1999 Elsevier Science B.V. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/09/20 alle ore 18:01:40