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Table 3 Clinical summary of patients with Tolosa-Hunt Syndrome

From: The clinical features and outcomes of Tolosa-Hunt syndrome

Case

Sex

Age

Clinical findings

Involved CN

MRI findings

ESR

(0–20)

CRP

(0–5)

Treatment

(per day)

Relapse

1

M

73

Diplopia

6 CN

Enhanced left cavernous sinus and clinoid process

15

0.9

Oral MPD 50 mg

-

2

M

74

Diplopia, Ptosis

Optic nerve, 3/4/6 CN

Enlarged and enhanced left cavernous sinus/apex/optic nerve

52

2.6

Oral MPD 50 mg

5 weeks interval

3

M

52

Diplopia

Optic nerve, 4 CN

Mild thickening and enhanced right cavernous sinus/apex (superior/inferior orbital fissure)

10

2.5

IV MPD 1 g

-

4

F

46

Diplopia, Ptosis

3/4/6 CN

Enhanced focal triangular shaped right cavernous sinus with enlarged right superior ophthalmic vein

21

0.3

IV MPD 1 g

-

5

M

68

Diplopia, Ptosis

3 CN

Enhanced focal right superior orbital fissure

12

2.0

Oral MPD 50 mg

5 years ago

6

M

46

Diplopia

6 CN

Slightly bulging of right cavernous sinus

2

0.5

Oral MPD 50 mg

-

7

M

46

Diplopia

6 CN, facial nerve

Suspicious enhanced left superior orbital fissure

10

0.7

Oral MPD 50 mg

-

8

M

69

Diplopia

4 CN

Enhanced left cavernous sinus/superior orbital fissure

8

0.8

Oral MPD 50 mg

-

9

M

78

Diplopia, Ptosis

3/6 CN

Enlarged and enhanced left cavernous sinus

11

0.7

IV MPD 1 g

-

10

F

42

Diplopia, Ptosis

3/4/6 CN

Enhanced right cavernous sinus and extending to orbital apex

30

0.5

IV MPD 1 g

-

11

M

35

Diplopia

Trigeminal nerve, 6 CN

Enhanced left cavernous sinus and extracranial portion of mandibular division of trigeminal nerve

13

1.1

IV MPD 1 g

-

  1. MRI = magnetic resonance imaging; ESR = erythrocyte sedimentation rate; CRP = C-reactive protein
  2. CN = cranial nerve; MPD = methylprednisolone; IV = intravenous