Tolosa Hunt Syndrome

Abstract

          This is a report of Tolosa hunt Syndrome [THS] patient and review of this disease. It is a rare condition but interesting. The patient came with symptoms of painful ophthalmoplegia [paralysis of extraocular muscles] of left side, left vision loss, left ptosis, left mydraisis and paresis of left forehead. This resenting of paralysis of cranial nerves 2, 3, 4, 5(1), 6 and indicated that the lesion should be in cavernous sinus and adjacent area where many nerves passing through. Imaging studies help to differential diagnosis from other potentially fatal diseases e.g. brain tumor, posterior communicating aneurysm, cavernous sinus thrombosis and guide to proper management.