I am posting very rare neuro ophthalmic manifestations of few cases called as tolosa hunt syndrome. I had little bit of interest in neuro ophthalmology few months back. The tolosa hunt syndrome patients who had complained about following Unilateral periorbital pain Hemicrania Diplopia of a sudden onset In examination the patient’s age is round about 50 years. He had exophthalmos, proptosis, complete ophthalmoplegia, nerve palsy, RAPD, impairment of sensory division of 1st and 2nd branch of 5th nerve, both eyes with plus 0.50 sphere, both eyes point were presbyopic fundi.
The exact cause of tolosa hunt syndrome is not known it may be: neoplastic trumatic congenital The auto immune has to exclude sarcoidosis in these patients brain MRI should be done. The patients respond to systemic steroids dramatically the use of systemic steroids is both diagnostic and therapeutic. Which gives a…
