Tolosa — Hunt syndrome: a clinical case in the practice of an ophthalmologist
https://doi.org/10.21516/2072-0076-2026-19-1-174-178
Abstract
Purpose of the study: to present a clinical case of a patient with Tolosa — Hunt syndrome in the practice of an ophthalmologist. A patient with pain in the left side of the head, ptosis and ophthalmoplegia of the upper eyelid came to our clinic. These complaints are characteristic of the superior orbital fissure syndrome, however, the absence of secondary causes of damage to the structures of the superior orbital fissure and the walls of the cavernous sinus can lead to incorrect diagnosis and treatment. Tolosa — Hunt syndrome (painful ophthalmoplegia), if diagnosed in a timely manner, responds well to treatment with glucocorticosteroids, therefore, it is mandatory for ophthalmologists to be vigilant and conduct a thorough ophthalmological and neurological examination of such patients.
Conclusion. Ophthalmologists need to carry out differential diagnosis in patients with superior orbital fissure syndrome with Tolosa — Hunt syndrome.
About the Authors
A. V. Mironov
The S. Fyodorov Foundation to promote the development of advanced medical technology
Russian Federation
Russian Federation
Andrey V. Mironov — Cand. of. Med. Sci., vitreoretinal surgeon, head of the ophthalmology department
16/1, Sadovaya Samotechnaya St., Moscow, 127051
A. V. Zakharchuk
The S. Fyodorov Foundation to promote the development of advanced medical technology
Russian Federation
Russian Federation
Anna V. Zakharchuk — ophthalmic surgeon
16/1, Sadovaya Samotechnaya St., Moscow, 127051
I. M. Kutin
The S. Fyodorov Foundation to promote the development of advanced medical technology
Russian Federation
Russian Federation
Ivan M. Kutin — ophthalmic surgeon
16/1, Sadovaya Samotechnaya St., Moscow, 127051
F. T. Murtazalieva
The S. Fyodorov Foundation to promote the development of advanced medical technology
Russian Federation
Russian Federation
Fatima T. Murtazalieva — ophthalmic surgeon
16/1, Sadovaya Samotechnaya St., Moscow, 127051
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Review
For citations:
Mironov A.V., Zakharchuk A.V., Kutin I.M., Murtazalieva F.T. Tolosa — Hunt syndrome: a clinical case in the practice of an ophthalmologist. Russian Ophthalmological Journal. 2026;19(1):174-178. (In Russ.) https://doi.org/10.21516/2072-0076-2026-19-1-174-178
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