Clinical features of painful ophthalmoplegia syndrome

Objective:To study the clinical features of the painful ophthalmoplegia syndome(Tolosa Hunt Syndrome).Methods:A retrospective analysis on the clinical feature in 5 cases with painful ophthalmeplegia syndrome was carried out.Results:The 5 patients of the painful ophthalmoplegia syndrome were fit for the creteria of the diagnosis,sensitive to corticosteroid therapy. Four cases were cured,one case was complicated with purulent meningitis.Conclusion:The causes and clinical presentations of the painful ophthalmoplegia are complicated,we should pay attention to the diagnosis. The availability of computed tomographic scanning and magnetic resonance imaging,as well as angiography allow the physician to perform a sensitive neuroradiologic evaluation of the diagnosis of the syndrome. Many of the patients are well responsive to corticosteroid therapy. We should be caution to the spreading of the inflammatory.