伴面神经麻痹的Tolosa-Hunt综合征患者的MRI表现

• 作 者: Park K.-J. Son S 袁海峰
• 机 构: Gyeongsang Institute of Health Sciences Department of Neurology Gyeongsang National University Coll
• 出 处: 世界核心医学期刊文摘(神经病学分册)
• 发表日期: 2006年09期
• 关键词: 面神经麻痹 外展神经麻痹 内耳道 额颞部 段信号 海绵窦 神经信号 眼眶 头痛症状 当时

A 44-year-old woman developed a severe right frontotemporal headache, retro-orbital pain, and, later, diplopia owing to right sixth nerve palsy. The brain MRI demonstrated strong enhancement of the right cavernous sinus. The sixth nerve palsy and headache improved with steroid therapy after 6 weeks. At that time, she suffered right peripheral facial nerve palsy. Enhancement of the distal canalicular and labyrinthic segment of the right facial nerve was found on contrast-enhanced MRI. To our knowledge, this is a very rare case of Tolosa-Hunt syndrome with facial nerve palsy, with simultaneous enhancement of the cavernous sinus and facial nerve on contrast-enhanced MRI.

A 44-year-old woman developed a severe right frontotemporal headache, retro-orbital pain, and, later, diplopia owing to right sixth nerve palsy. The brain MRI demonstrating strong enhancement of the right cavernous sinus. The sixth nerve palsy and headache improved At that time, she suffered right peripheral facial nerve palsy. Enhancement of the distal canalicular and labyrinthic segment of the right facial nerve was found on contrast-enhanced MRI. To our knowledge, this is a very rare case of Tolosa-Hunt syndrome with facial nerve palsy, with simultaneous enhancement of the cavernous sinus and facial nerve on contrast-enhanced MRI.