MR imaging of Tolosa-Hunt syndrome

David Mark Yousem, S. W. Atlas, R. I. Grossman, R. C. Sergott, P. J. Savino, Thomas Bosley

Research output: Contribution to journalArticle

Abstract

The Tolosa-Hunt syndrome consists of painful ophthalmoplegia caused by cavernous sinus inflammation, which is responsive to steroid therapy. The MR features of 11 patients with the clinical diagnosis of Tolosa-Hunt syndrome were studied. Two patients had normal MR studies of the orbit and cavernous sinuses. In nine patients, abnormal signal and/or mass lesions were seen in the cavernous sinuses; in eight cases, the abnormality was hypointense relative to fat and isointense with muscle on short TR/TE images and isointense with fat on long TR/TE scans. Extension into the orbital apex was seen in eight cases. In six of nine cases the affected cavernous sinus was enlarged; in five of nine it had a convex outer margin. One patient had a thrombosed cavernous sinus and superior ophthalmic vein in addition to a cavernous sinus soft-tissue mass. The signal intensity of Tolosa-Hunt syndrome in this limited series was similar to that of orbital pseudotumor and is confined to a limited differential diagnosis, which includes meningioma, lymphoma, and sarcoidosis.

Original languageEnglish (US)
Pages (from-to)167-170
Number of pages4
JournalAmerican Journal of Roentgenology
Volume154
Issue number1
StatePublished - 1990
Externally publishedYes

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Tolosa-Hunt Syndrome
Cavernous Sinus
Orbital Pseudotumor
Cavernous Sinus Thrombosis
Fats
Meningioma
Orbit
Sarcoidosis
Veins
Lymphoma
Differential Diagnosis
Steroids
Inflammation
Muscles

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Yousem, D. M., Atlas, S. W., Grossman, R. I., Sergott, R. C., Savino, P. J., & Bosley, T. (1990). MR imaging of Tolosa-Hunt syndrome. American Journal of Roentgenology, 154(1), 167-170.

MR imaging of Tolosa-Hunt syndrome. / Yousem, David Mark; Atlas, S. W.; Grossman, R. I.; Sergott, R. C.; Savino, P. J.; Bosley, Thomas.

In: American Journal of Roentgenology, Vol. 154, No. 1, 1990, p. 167-170.

Research output: Contribution to journalArticle

Yousem, DM, Atlas, SW, Grossman, RI, Sergott, RC, Savino, PJ & Bosley, T 1990, 'MR imaging of Tolosa-Hunt syndrome', American Journal of Roentgenology, vol. 154, no. 1, pp. 167-170.
Yousem DM, Atlas SW, Grossman RI, Sergott RC, Savino PJ, Bosley T. MR imaging of Tolosa-Hunt syndrome. American Journal of Roentgenology. 1990;154(1):167-170.
Yousem, David Mark ; Atlas, S. W. ; Grossman, R. I. ; Sergott, R. C. ; Savino, P. J. ; Bosley, Thomas. / MR imaging of Tolosa-Hunt syndrome. In: American Journal of Roentgenology. 1990 ; Vol. 154, No. 1. pp. 167-170.
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