scholarly journals A Case of Tolosa-Hunt Syndrome With Discoid Lupus Erythematosus

2019 ◽  
Vol 10 (1) ◽  
pp. 48-50
Author(s):  
Amy W. Yu ◽  
Eli J. Finkelsztein ◽  
Natalie T. Cheng
Keyword(s):  
Lupus Erythematosus ◽  
Severe Headache ◽  
Oculomotor Nerve ◽  
Oculomotor Nerve Palsy ◽  
Discoid Lupus Erythematosus ◽  
Resonance Imaging ◽  
Hunt Syndrome ◽  
Blurry Vision ◽  
Unusual Occurrence ◽  
Cutaneous Lupus

The occurrence of Tolosa-Hunt syndrome (THS) in the setting of discoid lupus erythematosus (DLE) has not been previously reported. We report a case of a 55-year-old Chinese man with established cutaneous lupus who presented with 1 week of worsening blurry vision and ptosis of the left eye with severe headache 2 weeks prior to presentation. His cranial nerve examination was significant for left afferent pupillary defect, red desaturation, ptosis, and oculomotor nerve palsy. He also presented with active DLE lesions. Magnetic resonance imaging brain demonstrated asymmetric thickening and enhancement of the left cavernous sinus consistent with THS. After a 4-week gradual steroid taper his ophthalmoplegia resolved. The unusual occurrence of THS and DLE prompts consideration of nonsystemic autoimmune disorders in diagnosis of THS.

scholarly journals Tolosa-Hunt Syndrome Presenting as Cluster-Like Headache

2021 ◽  
Vol 39 (4) ◽  
pp. 343-346
Author(s):  
Ja Hyeon Cho ◽  
Seon Jeong Kim ◽  
Dae-Hyun Kim
Keyword(s):  
Contrast Material ◽  
Inflammatory Lesion ◽  
Oculomotor Nerve ◽  
Oculomotor Nerve Palsy ◽  
Wall Thickening ◽  
Resonance Imaging ◽  
Lateral Aspect ◽  
Hunt Syndrome ◽  
Patient Reported ◽  
Headache Onset

A 48-year-old man came with a left-sided headache that was compatible with diagnostic criteria of cluster headache. Left oculomotor nerve palsy developed 2 weeks after headache onset. Magnetic resonance imaging showed wall thickening and enhancement by contrast material in the lateral aspect of the left cavernous sinus, consistent with a possible inflammatory lesion. The patient reported the almost complete remission of the pain and diplopia after steroid therapy. We speculate that Tolosa-Hunt syndrome should be included as a cause of cluster-like headaches.

scholarly journals A clinical and epidemiological study on discoid lupus erythematosus

2018 ◽  
Vol 4 (3) ◽  
pp. 396 ◽  
Author(s):  
Geetharani Gopalan ◽  
Sudha R. Gopinath ◽  
Kothandaramasamy R. ◽  
Sathesh Pandian
Keyword(s):  
Lupus Erythematosus ◽  
Severe Disease ◽  
Disease Onset ◽  
Discoid Lupus Erythematosus ◽  
Systemic Involvement ◽  
Male Ratio ◽  
Lupus Panniculitis ◽  
Female Predominance ◽  
Complete Physical Examination ◽  
Cutaneous Lupus

<p class="abstract"><strong>Background:</strong> Discoid lupus erythematosus (DLE) is the commonest form of cutaneous lupus erythematosus.The objective of our study is to analyze the clinical and epidemiological aspects of DLE.</p><p class="abstract"><strong>Methods:</strong> All clinically diagnosed cases of DLE attending the dermatology OPD from October 2010 to September 2012were included in the study. A detailed history, complete physical examination, biopsy for confirmation and other relevant investigations were done in all cases.<strong></strong></p><p class="abstract"><strong>Results:</strong> The incidence was 4.79 per 10000 cases (51 of 106368 dermatology patients) showing female to male ratio of 4.1:1. Localized type was more common than the disseminated type. Few lesions (less than five) in a localized area without head and neck involvement were also classified as localized type in this study. Mucosal, verrucous, tumid and lupus panniculitis were the variants of DLE encountered. The sites involved were face, scalp, trunk, upper and lower limb in descending order of frequency. Antinuclear antibody (ANA) was positive in 22 of 30 cases done (73%). The systemic involvement was seen in 15 patients all of whom were diagnosed as systemic lupus erythematosus (SLE). Squamous cell carcinoma was seen in 2 cases of disseminated DLE.</p><p class="abstract"><strong>Conclusions:</strong> Majority of patients had disease onset at 3<sup>rd</sup> to 5<sup>th</sup> decade showing female predominance. When compared to localized type, disseminated type was found more frequently in males. Early onset and severe disease was noted among offspring born to a patient suffering from disseminated DLE. Serious morbidity like lupus nephritis was observed only in 1 case. The occurrence of DLE over the herpes zoster scar was an interesting observation.</p>

scholarly journals A Case of Isolated Oculomotor Nerve Palsy in Systemic Lupus Erythematosus

Consultant ◽  
2020 ◽  
Vol 60 ◽  
Author(s):  
Ganesh Maniam ◽  
Ryan Dean ◽  
Ilya Ivyanskiy ◽  
Moutasim Souliman ◽  
Rahul Chandra ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Nerve Palsy ◽  
Oculomotor Nerve ◽  
Oculomotor Nerve Palsy ◽  
Systemic Lupus

scholarly journals Surgical Treatment of Cavernous Sinus Cavernomas: Evidence from Vietnam

Reports ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. 16
Author(s):  
Duc-Anh Nguyen ◽  
Hao The Nguyen ◽  
Thang Van Duong ◽  
Binh Hoa Pham ◽  
Hoang-Long Vo
Keyword(s):  
Magnetic Resonance Imaging ◽  
Surgical Treatment ◽  
Magnetic Resonance ◽  
Cavernous Sinus ◽  
Nerve Palsy ◽  
Oculomotor Nerve ◽  
Oculomotor Nerve Palsy ◽  
Tumor Surgery ◽  
Resonance Imaging ◽  
Radical Removal

Cavernous sinus cavernomas, a rare vascular malformation, represents 3% of all benign cavernous sinus tumors. Both clinical and radiological signs are important for differentiating this condition from other cavernous sinus diseases. The best treatment is radical removal tumor surgery; however, due to the tumor being located in the cavernous sinus, there are many difficulties in the surgery. We report a case of a 35-year-old female who only presented sporadical headache. After serial magnetic resonance imaging acquisitions, a tumor measuring 30 mm in the left cavernous sinus and heterogenous enhencement was observed. Then, the patient underwent an operation with an extradural basal temporal approach. Postoperatively, the tumor was safely gross total removed. The patient developed left oculomotor nerve palsy but fully recovered after 3 months of acupunture treatment, and developed persistent left maxillofacial paresthesia. The surgical treatment for cavernous sinus cavernomas may be considered a best choice regarding safety and efficiency.

scholarly journals Bilateral Intracavernous Carotid Artery Aneurysms Presenting as Diplopia in a Young Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Nikolaos Kopsachilis ◽  
Maria Pefkianaki ◽  
Gianluca Carifi ◽  
Ioannis Lialias
Keyword(s):  
Carotid Artery ◽  
Young Patients ◽  
Oculomotor Nerve ◽  
Oculomotor Nerve Palsy ◽  
Resonance Imaging ◽  
Intracavernous Carotid Artery ◽  
Life Threatening ◽  
Endovascular Coil Embolization ◽  
The Brain ◽  
Underlying Pathology

Introduction. Bilateral intracavernous carotid artery aneurysms (ICAAs) are extremely rare and difficult to treat.Case Report. A 26-year-old female presented in our clinic with acute diplopia due to oculomotor nerve palsy on the left side. Magnetic resonance imaging of the brain showed two heterogeneously enhanced masses indicating bilateral ICAA. An endovascular coil embolization was performed on the left side successfully, resulting in resolution of her symptoms.Conclusion. Thorough systemic evaluation in young patients with diplopia can reveal life-threatening underlying pathology and prevent major complications.

scholarly journals Ocular Complications in Cutaneous Lupus Erythematosus: A Systematic Review with a Meta-Analysis of Reported Cases

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
L. Arrico ◽  
A. Abbouda ◽  
I. Abicca ◽  
R. Malagola
Keyword(s):  
Lupus Erythematosus ◽  
Meta Analysis ◽  
Correct Diagnosis ◽  
Cutaneous Lupus Erythematosus ◽  
Discoid Lupus Erythematosus ◽  
Systemic Lupus ◽  
Ocular Complications ◽  
Ocular Symptoms ◽  
Inflammatory Syndrome ◽  
Cutaneous Lupus

Ocular complications associated with cutaneous lupus erythematosus (CLE) are less studied compared with those ones associated with systemic lupus erythematosus (SLE). The main ocular sites involved in patients affected by discoid lupus erythematosus (DLE) are eyelids followed by orbit and periorbit, the least being cornea. The most common complications are blepharitis usually affecting the lower lid and associated with some type of lid lesion such as plaque or erythematosus patches and madarosis. Few cases with LE profundus (LEP) and ocular complications are reported, but they are associated with orbital inflammatory syndrome and severe complications. The main treatment prescribed is hydroxychloroquine with a dose of 200 mg twice a day for 6 to 8 weeks. Corticosteroids are also used. Intervals between the correct diagnosis and the beginning of the ocular symptoms are commonly delayed. Ophthalmologist should be aware of the ocular manifestation of this autoimmune disease.

scholarly journals Discoid lupus erythematosus leading to squamous cell carcinoma: a case report

2017 ◽  
Vol 3 (3) ◽  
pp. 456
Author(s):  
Dadapeer H. J. ◽  
Anupama Y. G. ◽  
Sushma D. M.
Keyword(s):  
Squamous Cell Carcinoma ◽  
Case Report ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Hair Loss ◽  
Lupus Erythematosus ◽  
Discoid Lupus Erythematosus ◽  
Chronic Form ◽  
Short Period ◽  
Cutaneous Lupus

<p><span>Discoid lupus erythematosus (DLE) is the most common chronic form of cutaneous lupus. It is characterised by persistent scaly, disk-like plaques on scalp, face and ears that may cause pigmentary changes, scarring and hair loss. </span><span class="apple-converted-space"><span>Squamous cell carcinoma can</span></span><span> rarely arise within a longstanding DLE plaque<span class="apple-converted-space"> </span>in the skin. It presents as an enlarging warty<span class="apple-converted-space"> </span>growth or ulcer. We report a case of squamous cell carcinoma which developed on lesion of discoid lupus erythematosus within a short period of time.</span></p>

Left ventricular pseudoaneurysm associated with systemic lupus erythematosus

Lupus ◽  
2019 ◽  
Vol 28 (5) ◽  
pp. 681-684
Author(s):  
L S Hoff ◽  
C Q Pimentel ◽  
B L R Faillace ◽  
C E Rochitte ◽  
L M M F Demarchi ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Left Ventricular ◽  
Resonance Imaging ◽  
Systemic Lupus ◽  
Left Ventricular Pseudoaneurysm ◽  
Lupus Flare ◽  
Patch Closure ◽  
Cardiac Manifestations ◽  
Cutaneous Lupus

Systemic lupus erythematosus (SLE) is associated with several cardiac manifestations but, to our knowledge, there have been no previously published reports on left ventricular (LV) pseudoaneurysm in this disease. We describe a case of a 30-year-old woman with SLE who presented with a disease flare (acute and subacute cutaneous lupus, pericarditis, fever, leukopenia) associated with heart failure syndrome. The patient was diagnosed with a large LV pseudoaneurysm and a bovine pericardium patch closure was performed. Coronary arteries were angiographically normal, and cardiac magnetic resonance imaging did not exhibit detectable myocardial fibrosis or infarction. Trauma, previous cardiac surgery, Chagas disease, and antiphospholipid syndrome were excluded. Histopathology of the pericardium revealed lymphocytic arteriolitis raising the possibility of an autoimmune-mediated mechanism for this complication. The unequivocal concomitant diagnosis of lupus flare, the exclusion of other causes of pseudoaneurysm and the histopathological finding of arteriolitis in this patient reinforces the hypothesis of lupus-mediated lesion.

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