Tolosa-Hunt syndrome with a prolonged course: Successful treatment with radiotherapy

Abstract

A 49-year-old woman developed steroid-responsive right painful ophthalmoplegia. Repeated attempts to withdraw steroids proved futile until ten months after onset when radiotherapy was administered to the involved cavernous sinus. Following this treatment she was weaned from steroids without a relapse. Radiotherapy may be of value in the Tolosa-Hunt syndrome when steroid therapy is contra-indicated or the course of the disease is prolonged.

Key Words:

• Tolosa-Hunt syndrome
• radiotherapy