ICHD-II diagnostic criteria for Tolosa-Hunt syndrome in idiopathic inflammatory syndromes of the orbit and/or the cavernous sinus

S. Colnaghi, M. Versino, E. Marchioni, A. Pichiecchio, S. Bastianello, V. Cosi, G. Nappi

Research output: Contribution to journalArticle

Abstract

A bibliographical search was conducted for papers published between 1999 and 2007 to verify the validity of International Classification of Headache Disorders (ICHD)-II criteria for the Tolosa-Hunt syndrome (THS) in terms of (i) the role of magnetic resonance imaging (MRI); (ii) which steroid treatment should be considered as adequate; and (iii) the response to treatment. Of 536 articles, 48, reporting on 62 patients, met the inclusion criteria. MRI was positive in 92.1% of the cases and it normalized after clinical resolution. There was no evidence of which steroid schedule should be considered as adequate; high-dose steroids are likely to be more effective both to induce resolution and to avoid recurrences. Pain subsided within the time limit required by the ICHD-II criteria, but signs did not. We conclude that THS diagnostic criteria can be improved on the basis of currently available data. MRI should play a pivotal role both to diagnose and to follow-up THS.

Original languageEnglish
Pages (from-to)577-584
Number of pages8
JournalCephalalgia
Volume28
Issue number6
DOIs
Publication statusPublished - Jun 2008

Keywords

  • Cavernous sinus
  • Headache
  • ICHD-II
  • Orbital pseudotumour
  • Tolosa-Hunt syndrome

ASJC Scopus subject areas

  • Clinical Neurology

Fingerprint Dive into the research topics of 'ICHD-II diagnostic criteria for Tolosa-Hunt syndrome in idiopathic inflammatory syndromes of the orbit and/or the cavernous sinus'. Together they form a unique fingerprint.

  • Cite this