N. A. Kayleva, A. A. Kulesh, N. L. Starikova, Yuliya V. Karakulova, A. R. Galimshin
{"title":"托洛萨-亨特综合征","authors":"N. A. Kayleva, A. A. Kulesh, N. L. Starikova, Yuliya V. Karakulova, A. R. Galimshin","doi":"10.30629/2658-7947-2023-28-6-56-61","DOIUrl":null,"url":null,"abstract":"A description of a clinical case of Tolosa–Hunt syndrome (THS) and a brief review of the literature are presented. The described clinical case is characterized by three features that have not received sufficient attention in the literature: 1) the presence of recurrent pain outside the orbit in combination with ptosis without diplopia several years before the development of a typical episode of THS; 2) insufficient and unstable clinical response to standard doses of glucocorticoids with high efficiency of pulse therapy with methylprednisolone followed by oral administration of prednisolone; 3) a longer than required according to the international classification of headaches (ICHD-3) time interval between the development of cephalalgia and the appearance of oculomotor disorders. This clinical observation expands the understanding of the clinical picture and treatment of THS.","PeriodicalId":36724,"journal":{"name":"Russian Neurological Journal","volume":"54 12","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Tolosa–Hunt syndrome\",\"authors\":\"N. A. Kayleva, A. A. Kulesh, N. L. Starikova, Yuliya V. Karakulova, A. R. Galimshin\",\"doi\":\"10.30629/2658-7947-2023-28-6-56-61\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"A description of a clinical case of Tolosa–Hunt syndrome (THS) and a brief review of the literature are presented. The described clinical case is characterized by three features that have not received sufficient attention in the literature: 1) the presence of recurrent pain outside the orbit in combination with ptosis without diplopia several years before the development of a typical episode of THS; 2) insufficient and unstable clinical response to standard doses of glucocorticoids with high efficiency of pulse therapy with methylprednisolone followed by oral administration of prednisolone; 3) a longer than required according to the international classification of headaches (ICHD-3) time interval between the development of cephalalgia and the appearance of oculomotor disorders. This clinical observation expands the understanding of the clinical picture and treatment of THS.\",\"PeriodicalId\":36724,\"journal\":{\"name\":\"Russian Neurological Journal\",\"volume\":\"54 12\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Russian Neurological Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.30629/2658-7947-2023-28-6-56-61\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Russian Neurological Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.30629/2658-7947-2023-28-6-56-61","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
A description of a clinical case of Tolosa–Hunt syndrome (THS) and a brief review of the literature are presented. The described clinical case is characterized by three features that have not received sufficient attention in the literature: 1) the presence of recurrent pain outside the orbit in combination with ptosis without diplopia several years before the development of a typical episode of THS; 2) insufficient and unstable clinical response to standard doses of glucocorticoids with high efficiency of pulse therapy with methylprednisolone followed by oral administration of prednisolone; 3) a longer than required according to the international classification of headaches (ICHD-3) time interval between the development of cephalalgia and the appearance of oculomotor disorders. This clinical observation expands the understanding of the clinical picture and treatment of THS.