Author/Authors :
Wani, Nisar A Department of Radiodiagnosis and Imaging - Government Medical College - Srinagar - Jammu and Kashmir, India , Jehangir, Majid Department of Radiodiagnosis and Imaging - Government Medical College - Srinagar - Jammu and Kashmir, India , Lone, Parveen A Department of OMF Surgery - GDC Jammu - Jammu and Kashmir, India
Abstract :
Purpose: To highlight the role of constructive interference steady state (CISS) magnetic resonance
imaging (MRI) in the diagnosis of Tolosa‑Hunt Syndrome (THS).
Case Report: We describe a case of THS in a 55-year-old woman presenting with left painful opthalmoplegia
that was diagnosed by CISS MRI. Patient responded to steroid treatment and the lesion resolved.
Conclusion: Imaging with MRI can help in making the diagnosis of THS by demonstrating an enhancing
soft tissue lesion in the cavernous sinus and orbital apex resolving with steroids. CISS MRI is a sensitive
sequence for diagnosis and follow-up imaging in THS.
Keywords :
Cavernous Sinus , Constructive Interference Steady State Magnetic Resonance Imaging , Painful Ophthalmoplegia , Tolosa-Hunt Syndrome
