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Reynaldo Castillo, MD; Clark Watts, MD
Division of Neurosurgery University of Missouri-Columbia Health Sciences Center Columbia, MO 65212

Carlos Acosta, MD
Southwestern Medical School Dallas, TX 75235

Arch Neurol. 1981;38(10):671-672.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Tolosa-Hunt syndrome is usually attributed to a benign, corticosteroid-sensitive granulomatous arteritis that may affect any of the cranial nerves passing through the cavernous sinus.^1.2 The exclusion of other diseases and the excellent response to administration of corticosteroids are the primary criteria for diagnosis of this syndrome.^3-5 A case of neuroma of the first division of the trigeminal nerve met these criteria. The diagnosis was confirmed histologically.

Report of a Case.—

A 75-year-old man with a one-year history of severe pain in the left eye, left temporal scalp, and forehead had ophthalmoparesis, for which he received prednisone (60 mg/day) for one week on three occasions. Temporary relief from pain was noted with each course of therapy. On one occasion, the patient also received a retro-ocular injection of a corticosteroid medication with relief of pain. However, the ophthalmoparesis slowly progressed with exophthalmos. A left temporal artery biopsy . . . [Full Text PDF of this Article]

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