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Tolosa Hunt Syndrome

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Copyright 1987, 1989, 1997, 1998, 2005, 2008

NORD is very grateful to Bita Esmaeli, MD, FACS, Associate Professor, Director, Ophthalmic Plastic & Reconstructive Surgery Fellowship Program, Section of Ophthalmology, Department of Head and Neck Surgery, M. D. Anderson Cancer Center, for assistance in the preparation of this report.

Synonyms of Tolosa Hunt Syndrome
  • Ophthalmoplegia, Painful
  • Ophthalmoplegia, Recurrent
  • Ophthalmoplegia Syndrome

Disorder Subdivisions



General Discussion
Tolosa-Hunt syndrome is a rare disorder characterized by severe headaches and pain around the sides and back of the eye, along with weakness and paralysis (ophthalmoplegia) of certain eye muscles. Symptoms usually affect only one side of the head (unilateral). In most cases, affected individuals experience intense sharp pain and paralysis of muscles around the eye. Symptoms subside without intervention (spontaneous remission) and recur without a distinct pattern (randomly). In addition, affected individuals may exhibit paralysis (palsy) of certain facial nerves and drooping of the upper eyelid (ptosis). Other symptoms may include double vision, fever, chronic fatigue, headaches, a feeling that one's surroundings are spinning (vertigo), pain in the joints (arthralgia), and/or abnormal protrusion of one or both eyeballs (exophthalmos). The exact cause of Tolosa-Hunt syndrome is not known, but the disorder is thought to be associated with inflammation of the areas behind the eyes (cavernous sinus and superior orbital fissure).

Organizations related to Tolosa Hunt Syndrome
  • American Autoimmune Related Diseases Association, Inc.
    22100 Gratiot Avenue
    Eastpointe MI 48021
    Phone #: 586-776-3900
    800 #: 800-598-4668
    e-mail: aarda@aarda.org
    Home page: http://www.aarda.org/
  • AutoImmunity Community
    None
    None None None
    Phone #: (91-9) -552-9057
    800 #: N/A
    e-mail: bandrews@autoimmunitycommunity.org
    Home page: http://autoimmunitycommunity.org
  • Genetic and Rare Diseases (GARD) Information Center
    PO Box 8126
    Gaithersburg MD 20898-8126
    Phone #: 301-251-4925
    800 #: 888-205-2311
    e-mail: ordr@od.nih.gov
    Home page: http://rarediseases.info.nih.gov/Default.aspx
  • National Association for Visually Handicapped
    22 West 21st Street
    New York NY 10010
    Phone #: 212-889-3141
    800 #: --
    e-mail: staff@navh.org
    Home page: http://www.navh.org
  • National Headache Foundation
    820 North Orleans
    Suite 217
    Chicago IL 60610-3132
    Phone #: N/A
    800 #: 888-643-5552
    e-mail: info@headaches.org
    Home page: http://www.headaches.org
  • National Institute of Neurological Disorders and Stroke (NINDS)
    P.O. Box 5801
    Bethesda MD 20824
    Phone #: 301-496-5751
    800 #: 800-352-9424
    e-mail: me20t@nih.gov
    Home page: http://www.ninds.nih.gov/

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Last modified Wednesday, November 26, 2008