Skip to main content
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1973 Jun;36(3):486–490. doi: 10.1136/jnnp.36.3.486

Superior orbital fissure syndrome

Some clinical and radiological observations

J F Hallpike 1,1
PMCID: PMC494350  PMID: 4714112

Abstract

A patient is described with features of a superior orbital fissure (Tolosa Hunt) syndrome and a coexistent intraorbital lesion. There was radiological evidence both of narrowing of the carotid artery and of an intraorbital obstruction of venous return from the orbit. The diagnostic value of orbital venography and carotid angiography in the investigation of granulomata in the region of the orbit is stressed. The condition described here is responsive to corticosteroids and it is also inferred that there may be a clinicopathological spectrum encompassing both the Tolosa Hunt syndrome and pseudotumour of the orbit.

Full text

PDF
487

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BRUGGHEN A. V. Pathogenesis of ophthalmoplegic migraine. Neurology. 1955 May;5(5):311–318. doi: 10.1212/wnl.5.5.311. [DOI] [PubMed] [Google Scholar]
  2. Cheah J. S., Ransome G. A. Collier's syndrome (orbital periostitis). Med J Aust. 1970 Feb 7;1(6):277–278. doi: 10.5694/j.1326-5377.1970.tb77854.x. [DOI] [PubMed] [Google Scholar]
  3. Coop M. E. PSEUDOTUMOUR OF THE ORBIT: A CLINICAL AND PATHOLOGICAL STUDY OF 47 CASES. Br J Ophthalmol. 1961 Aug;45(8):513–542. doi: 10.1136/bjo.45.8.513. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. HUNT W. E., MEAGHER J. N., LEFEVER H. E., ZEMAN W. Painful opthalmoplegia. Its relation to indolent inflammation of the carvernous sinus. Neurology. 1961 Jan;11:56–62. doi: 10.1212/wnl.11.1.56. [DOI] [PubMed] [Google Scholar]
  5. Jellinek E. H. The orbital pseudotumour syndrome and its differentiation from endocrine exophthalmos. Brain. 1969 Mar;92(1):35–58. doi: 10.1093/brain/92.1.35. [DOI] [PubMed] [Google Scholar]
  6. LAKKE J. P. Superior orbital fissure syndrome. Report of a case caused by local pachymeningitis. Arch Neurol. 1962 Oct;7:289–300. doi: 10.1001/archneur.1962.04210040041004. [DOI] [PubMed] [Google Scholar]
  7. McNulty J. G. Phlebography of the orbital venous system and the cavernous sinus. Br J Radiol. 1969 Feb;42(494):113–121. doi: 10.1259/0007-1285-42-494-113. [DOI] [PubMed] [Google Scholar]
  8. Milstein B. A., Morretin L. B. Report of a case of sphenoid fissure syndrome studied by orbital venography. Am J Ophthalmol. 1971 Sep;72(3):600–603. doi: 10.1016/0002-9394(71)90858-0. [DOI] [PubMed] [Google Scholar]
  9. Mortada A. Unilateral proptosis of unexplained origin. 3. Br J Ophthalmol. 1965 Oct;49(10):547–553. doi: 10.1136/bjo.49.10.547. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Other A. Painful ophthalmoplegia: report of a case. Acta Ophthalmol (Copenh) 1967;45(3):371–373. doi: 10.1111/j.1755-3768.1967.tb06501.x. [DOI] [PubMed] [Google Scholar]
  11. Smith J. L., Taxdal D. S. Painful ophthalmoplegia. The Tolosa-Hunt syndrome. Am J Ophthalmol. 1966 Jun;61(6):1466–1472. [PubMed] [Google Scholar]
  12. TOLOSA E. Periarteritic lesions of the carotid siphon with the clinical features of a carotid infraclinoidal aneurysm. J Neurol Neurosurg Psychiatry. 1954 Nov;17(4):300–302. doi: 10.1136/jnnp.17.4.300. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES