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The "sinister" Tolosa-Hunt syndrome

Division of Neuro-Ophthalmology, Department of Ophthalmology (Dr. Spector), and Division of Neurosurgery, Department of Surgery (Dr. Fiandaca), Emory University School of Medicine, Atlanta, GA.

Four patients with presumed Tolosa-Hunt syndrome ultimately proved to have a parasellar tumor. All four had manifestations of a cavernous sinus syndrome, normal radiologic and medical investigations, and response to steroid therapy. The Tolosa-Hunt syndrome is a diagnosis of exclusion; many other lesions can simulate the clinical manifestations, including steroid responsiveness.

Address correspondence and reprint requests to Dr. Spector, Department of Ophthalmology, Emory Eye Center, 1327 Clifton Road, NE, Atlanta. GA 30322.

Accepted for publication June 6, 1985.

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