Clinical features and outcomes of Tolosa-Hunt syndrome, find
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The objective of this study was to investigate the clinical features and outcomes of Tolosa-Hunt syndrome (THS) that concluded that THS responded well to steroid treatment,

A retrospective review of the medical records was performed on patients with THS. A total of eleven patients fulfilling the International Classification of Headache Disorders (ICHD-3 beta) diagnostic criteria for THS were included in this study.

Results:
--The average age of the patients with THS was 57.18±15.32 years and the mean duration of recovery was 26.91±24.35 days.

--All 11 patients had orbital or periorbital pain as the first symptom followed by diplopia. Ptosis was found in 5 patients (45.45%) in the involved eye.

--6th cranial nerve (CN) palsy was most common, followed by third and fourth CN palsy, optic neuritis, and trigeminal nerve and facial nerve palsy.

--1 patient with optic neuritis failed to recover visual acuity and the other ten patients completely recovered their ocular motor limitation.

--All patients were initially treated with steroids. One patient relapsed after five weeks and one patient had a history of THS five years earlier.

In conclusion, THS responded well to steroid treatment, although experts believe that if it was accompanied by ocular neuritis or optic nerve involvement, high-dose steroid treatment was very crucial.

Source: https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-021-02007-0
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