A Case of Tolosa-Hunt Syndrome with Facial Palsy

안면마비를 동반한 Tolosa-Hunt Syndrome 환자 1례

  • Sim, Sung-Yong (Department of Ophthalmology & Otorhinolaryngology & Dermatology, College of Oriental Medicine, Kyungwon University) ;
  • Um, Yu-Sik (Department of Ophthalmology & Otorhinolaryngology & Dermatology, College of Oriental Medicine, Kyungwon University) ;
  • Hong, Chul-Hee (Department of Ophthalmology & Otorhinolaryngology & Dermatology, College of Oriental Medicine, Kyungwon University) ;
  • Kim, Kyung-Jun (Department of Ophthalmology & Otorhinolaryngology & Dermatology, College of Oriental Medicine, Kyungwon University) ;
  • Byun, Hak-Sung (Department of Ophthalmology & Otorhinolaryngology & Dermatology, College of Oriental Medicine, Kyungwon University)
  • 심성용 (경원대학교 한의과대학 안이비인후피부과학교실) ;
  • 엄유식 (경원대학교 한의과대학 안이비인후피부과학교실) ;
  • 홍철희 (경원대학교 한의과대학 안이비인후피부과학교실) ;
  • 김경준 (경원대학교 한의과대학 안이비인후피부과학교실) ;
  • 변학성 (경원대학교 한의과대학 안이비인후피부과학교실)
  • Published : 2005.08.25

Abstract

Painful ophthalmoplegia due to idiopathic granulomatous inflammation of the cavernous sinus/superior orbital fissure has been termed Tolosa-Hunt syndrome(THS). The syndrome is characterized by pain behind, above or around the eye, involvement of the cranial nerves which pass through the cavernous sinus, spontaneous remissions and exacerbations, and a favourable response to steroid therapy. There was the 56 years old man who suffered from painful ophthalmoplegia and facial palsy. The oriental medical treatment without steroids and analgesics reduced the symptoms of the patient remarkably during 5 weeks. There is few report that treat THS with oriental medical method. If more clinical trials like this are proved to be effective, we can expect that oriental medical treatment will be a good method in THS.

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