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Krupa Patel
Dharmendrasingh Rajput
Tolosa Hunt Syndrome(THS) is a rare disorder which is characterized by severe periorbital Unilateral Headache. It ispainful ophthalmoplegia caused by nonspecific inflammation of cavernous sinus or superior orbital fissure.Cranial Nerves involved are III, IV a nd VI. Symptoms of THS arepainful eye movements,Double vision worse at distance, Headache, photophobia, Neck Stiffness,chronic fatigue,blurred vision.The Hallmark of THS is painful Ophthalmoparesis or ophthalmoplegia.Estimated Incidence of THS is 1 per 1,0 00,000 people with an average age of 41 years with no sex predilection.The exact cause of THS is still unknown.In 2004, the International Headache Society (HIS) re -defined diagnostic criteria of THS specifying that granuloma demonstrated by MRI or Biopsy is essentially required for diagnosis
Keywords: Cavernous Sinus, Periorbital Inflammation, Painful Ophthalmoplegia, Corticosteroids, Palsy, Unilateral Headache