کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8963635 | 1646624 | 2018 | 5 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Ophthalmoplegia considered to be Tolosa-Hunt syndrome: A case report
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موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
دندانپزشکی، جراحی دهان و پزشکی
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چکیده انگلیسی
Tolosa-Hunt syndrome (THS) is a type of painful ophthalmoplegia characterized by unilateral orbital pain and oculomotor paresis. This report describes a case of painful ophthalmoplegia considered to be THS. The patient was a 72-year-old woman. After dental implant placement in the left maxillary first molar site, she was referred to our hospital for persistent left periorbital and facial pain, diplopia, and taste disorder. With an initial diagnosis of trigeminal neuralgia, diplopia, and taste disorder, we began administration of carbamazepine and polaprezinc, and asked the department of ophthalmology in our hospital to examine her diplopia. With the increase in serum zinc levels, the taste disorder resolved, but her periorbital pain and diplopia were aggravated, and she had to be hospitalized. As a result of extensive examinations, we suspected her painful ophthalmoplegia was due to cavernous sinus abnormalities; finally, THS was diagnosed. There was significant improvement in the periorbital pain within 48â¯h after the start of corticosteroid therapy. Since then, she has never suffered from painful ophthalmoplegia. This case indicates that careful evaluation and accurate diagnosis are critical in cases of painful ophthalmoplegia, and the possibility of THS should always be kept in mind.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology - Volume 30, Issue 5, September 2018, Pages 461-465
Journal: Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology - Volume 30, Issue 5, September 2018, Pages 461-465
نویسندگان
Kazuto Okabe, Ryuji Kaneko, Takamasa Kawai, Daisuke Mochizuki, Shuhei Tsuchiya, Hideharu HIbi,