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Year : 2023  |  Volume : 3  |  Issue : 1  |  Page : 139-141

Unilateral Tolosa–Hunt syndrome with bilateral cavernous sinus involvement – A very rare presentation

1 Department of Ophthalmology, Adesh Medical College and Hospital, Haryana, India
2 Department of Ophthalmology, SRMS Medical College and Hospital, Bareilly, Uttar Pradesh, India
3 Department of Radiology, Adesh Medical College and Hospital, Mohri, Kurukshetra, Haryana, India

Correspondence Address:
Sujit Das
Department of Ophthalmology, SRMS Medical College and Hospital, Bareilly - 243202, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1862_22

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Tolosa–Hunt syndrome (THS) is a rare, idiopathic, inflammatory process of the cavernous sinus and remains a diagnosis of exclusion. It is characterized by unilateral orbital pain and is often associated with diplopia due to the involvement of one or more oculomotor nerves. Involvement of the cranial nerve V, cranial nerve VII, or the ipsilateral sympathetic pupillary pathway, has also been described. Bilateral cranial nerve involvement is very infrequent. Herein, we are presenting a case of unilateral THS with bilateral cavernous sinus involvement.

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