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Iran J Neurosurg 2025, 11 - Continuous Publishing: 0-0 |
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Daneshi A, Masoudi O, Darvishnia S, Mohajeri S M R, Ghazvini H. Recurrent Tolosa Hunt Syndrome, After Cervical Spine Surgery: Case Report. Iran J Neurosurg 2025; 11 : 6
URL: http://irjns.org/article-1-433-en.html
URL: http://irjns.org/article-1-433-en.html
Abdolhadi Daneshi *1 
, Omid Masoudi1 , Saina Darvishnia2 , Seyed Mohammad Reza Mohajeri1 , Hossein Ghazvini1
, Omid Masoudi1 , Saina Darvishnia2 , Seyed Mohammad Reza Mohajeri1 , Hossein Ghazvini1
1- Department of Neurosurgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Anesthesiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Anesthesiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Abstract: (614 Views)
Background and Importance: Tolosa hunt syndrome (THS) is a rare ophthalmoplegia that occurs in one person per million people. Clinical presentation, magnetic resonance imaging (MRI) findings, and a good response to steroids are used to diagnose THS.
Case Presentation:We present a 59-year-old man with right ophthalmodynia and ophthalmoplegia after cervical laminectomy and surgical site infection (SSI). After the first course of low-dose dexamethasone, the patient’s symptoms relapsed within a short time. During the second course of treatment, high-dose dexamethasone was administered. The symptoms were treated without relapse within one year.
Conclusion: Infection, such as SSI, can trigger THS. Also, high-dose dexamethasone and longer treatment periods can prevent short-term recurrence of THS.
Case Presentation:We present a 59-year-old man with right ophthalmodynia and ophthalmoplegia after cervical laminectomy and surgical site infection (SSI). After the first course of low-dose dexamethasone, the patient’s symptoms relapsed within a short time. During the second course of treatment, high-dose dexamethasone was administered. The symptoms were treated without relapse within one year.
Conclusion: Infection, such as SSI, can trigger THS. Also, high-dose dexamethasone and longer treatment periods can prevent short-term recurrence of THS.
Article number: 6
Keywords: Tolosa hunt syndrome (THS), Cranial nerve palsy, Laminectomy, Ophthalmoplegia, Surgical site infection (SSI)
Type of Study: Case report |
Subject:
Vascular Neurosurgery
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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