A Rare Case of Tolosa-Hunt-Like Syndrome in a Poorly Controlled Diabetes Mellitus

We report a case of a 50-year-old female with diabetes mellitus who presented with progressive second, third, fifth, sixth, and eighth cranial nerve palsy. Diagnostic investigation revealed hyperglycemic state, and brain imaging showed a right cavernous sinus enhancement suggestive of and consistent...

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Main Authors: Glenmore Lasam, Sakshi Kapur
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2016/9763621
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spelling doaj-dd012acd82884cf58dfc427296a7dd282020-11-25T01:02:34ZengHindawi LimitedCase Reports in Medicine1687-96271687-96352016-01-01201610.1155/2016/97636219763621A Rare Case of Tolosa-Hunt-Like Syndrome in a Poorly Controlled Diabetes MellitusGlenmore Lasam0Sakshi Kapur1Department of Medicine, Overlook Medical Center, Summit, NJ 07901, USASection of Hospital Medicine, Overlook Medical Center, Summit, NJ 07901, USAWe report a case of a 50-year-old female with diabetes mellitus who presented with progressive second, third, fifth, sixth, and eighth cranial nerve palsy. Diagnostic investigation revealed hyperglycemic state, and brain imaging showed a right cavernous sinus enhancement suggestive of and consistent with Tolosa-Hunt syndrome. The patient was started on steroids with tight glycemic control for eight weeks; subsequently, the cranial nerve palsies resolved as well as documented resolution of the right cavernous sinus enhancement.http://dx.doi.org/10.1155/2016/9763621
collection DOAJ
language English
format Article
sources DOAJ
author Glenmore Lasam
Sakshi Kapur
spellingShingle Glenmore Lasam
Sakshi Kapur
A Rare Case of Tolosa-Hunt-Like Syndrome in a Poorly Controlled Diabetes Mellitus
Case Reports in Medicine
author_facet Glenmore Lasam
Sakshi Kapur
author_sort Glenmore Lasam
title A Rare Case of Tolosa-Hunt-Like Syndrome in a Poorly Controlled Diabetes Mellitus
title_short A Rare Case of Tolosa-Hunt-Like Syndrome in a Poorly Controlled Diabetes Mellitus
title_full A Rare Case of Tolosa-Hunt-Like Syndrome in a Poorly Controlled Diabetes Mellitus
title_fullStr A Rare Case of Tolosa-Hunt-Like Syndrome in a Poorly Controlled Diabetes Mellitus
title_full_unstemmed A Rare Case of Tolosa-Hunt-Like Syndrome in a Poorly Controlled Diabetes Mellitus
title_sort rare case of tolosa-hunt-like syndrome in a poorly controlled diabetes mellitus
publisher Hindawi Limited
series Case Reports in Medicine
issn 1687-9627
1687-9635
publishDate 2016-01-01
description We report a case of a 50-year-old female with diabetes mellitus who presented with progressive second, third, fifth, sixth, and eighth cranial nerve palsy. Diagnostic investigation revealed hyperglycemic state, and brain imaging showed a right cavernous sinus enhancement suggestive of and consistent with Tolosa-Hunt syndrome. The patient was started on steroids with tight glycemic control for eight weeks; subsequently, the cranial nerve palsies resolved as well as documented resolution of the right cavernous sinus enhancement.
url http://dx.doi.org/10.1155/2016/9763621
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