Title: Combined Extradural/Intradural Trans-Sylvian Approach for Superior Orbital Fissure and Optic Nerve Decompression, Cavernous Sinus Biopsy, and Mesial Temporal Lesion Resection: An Unusual Case of a Tolosa-Hunt Variant with Intraparenchymal Extension
Abstract: Introduction: Tolosa-Hunt syndrome is characterized by an idiopathic inflammatory process encompassing the cavernous sinus (CS) with involvement of cranial nerves. Presentation includes proptosis and painful ophthalmoplegia that may be associated with neurologic involvement. Histologically, lymphocytic infiltrates with possible granulomatous inflammation are present. Here, we discuss a patient who underwent a combined extradural approach to the CS with decompression of the superior orbital fissure and optic nerve and CS biopsy and intradural trans-sylvian resection of an enhancing mesial temporal lesion. We discuss the surgical management of this rare Tolosa-Hunt variant.
Publication Year: 2022
Publication Date: 2022-02-01
Language: en
Type: article
Indexed In: ['crossref']
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Cited By Count: 1
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