Raveendra P. Gadag1 , Manjunath Dandi Narasaiah2 , Abhineet Jain3 , Pushpalatha V4 , Gowri Sankar Marimuthu5
The Tolosa – Hunt syndrome is a rare, benign condition characterized by severe unilateral headache with extraocular palsies, orbital pain caused by nonspecific granulomatous inflammation in the cavernous sinus, superior orbital fissure or the orbit. (1-4) The incidence of Tolosa - Hunt syndrome has been estimated as approximately one to two cases per million. The etiology of the syndrome is largely unknown and it can affect people of virtually any age, with no sex predilection. It is usually unilateral, with no predisposition for right or left side; it has been reported as bilateral in 4.1-5 % cases. (2, 4) We report a rare case of Tolosa-Hunt syndrome which was misdiagnosed as sinusitis with orbital complication. The clinical features, diagnostic investigation and the importance of magnetic resonance imaging (MRI) studies in the differentiation of the condition are addressed.