Concluded Case

Tolosa Hunt syndrome

40 yrs old male pt complaining of gradual loss of vision over 1m in right eye. Cataract surgery in left eye. CT Scan was done with inconclusive reports. Refered for mri scan.. opinion

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Concluded answer

Illdefined enhancing soft tissue mass in the region of rt orbital apex with extension upto the ipsilateral cavernous sinus. The mass encases intracanalicular segment of optic nv and structures of cavernous sinus. _ A case of Tolossa Hunt syndrome.

All Answers

There are two possibilities 1.Optic nerve glioma 2.Optic nerve meningioma CT / MRI If optic nerve canal is enlarged but there is no calcification it is most likely optic nerve glioma. If optic nerve canal is normal but there is calcification it is meningioma of optic nerve. My knowledge about radiological aspect is very poor!

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Illdefined enhancing soft tissue mass in the region of rt orbital apex with extension upto the ipsilateral cavernous sinus. The mass encases intracanalicular segment of optic nv and structures of cavernous sinus. _ A case of Tolossa Hunt syndrome.

DD OPTIC NERVE LESION ANT ISCHEMIA OPTIC NEUROPATHY MACULOPATHY

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