all are true regarding toloso hunt syndrome except ?
Tolosa-Hunt Syndrome * Retro-orbital pseudotumor extending to the cavernous sinus * Clinical triad -- Unilateral ophthalmoplegia -- Cranial nerve palsies -- Dramatic response to systemic coicosteroids * Usually unilateral but may be bilateral (5%) * Histopathology = low-grade nonspecific inflammatory process with lymphocytes and plasma cells * MR Imaging -- Enlarged cavernous sinus containing abnormal soft tissues that are isointense to muscle on T1-weighted images and dark or bright on T2-weighted images and display contrast enhancement with focal narrowing of the ICA ref : harrisons 21st ed
All India exam
eye ball is in neutral position
initially medial squint is seen
intially lateral squint is seen
3,4,6 cranial nerves are damaged
intially lateral squint is seen