Tolosa-Hunt综合症又称痛性眼肌麻痹综合症( painful.DOC

Tolosa-Hunt综合症又称痛性眼肌麻痹综合症( painful ophthalmoplegiasyndrome)T2-weighted image reveals low signal intensity mass in the left CS (arrows). This is a nonspecific finding. Imaging supports the diagnosis of Tolosa–Hunt syndrome, but the classic clinical presentation and biopsy results are necessary to make the diagnosis confidentlyT2加权像显示左侧海绵窦低信号肿物(箭头).为非特异性发现. 影像支持Tolosa-Hunt综合症, 但需要有典型的临床表现和活检才能确立诊断.  海绵窦血栓A and B, Cavernous sinus thrombosis secondary to sphenoid and ethmoid sinusitis. A, T2-weighted axial image shows lateral bulging of the dural wall of the left CS (arrow). The CS contents are relatively low in signal intensity, consistent with thrombosis. The left ICA is patent, as there is signal void within the lumen, consistent with flowing blood (arrowhead). Note the high-signal intensity benign secretions within the sphenoid and ethmoid paranasal sinuses. B, T1-weighted axial image following gadolinium-based contrast agent shows bulging of the left CS and thin, nonnodular meningeal enhancement (white arrows), probably due to inflammation in the dura. Dural enhancement is often seen associated with extraaxial infection. Also note that the lumen of the left ICA (black arrows) is more narrow than on the right, suggesting spasm from the periarterial inflammatory process.图A B为海绵窦血栓继发于蝶筛窦炎症. 图A T2横断像显示左海绵窦壁向外膨胀(箭). 海绵窦内相对低信号,符合血栓. 左ICA通畅, 可见腔内流空,符合血液流动(箭头).注意蝶筛窦内高信号的分泌物.图B强化横断T1显示左海绵窦壁向外膨胀,薄的,无分叶脑膜强化(白箭), 可能为硬膜炎症所致.硬膜强化多伴有脑外感染.注意左ICA(黑箭)比右侧窄,提示动脉周围炎症所致的动脉痉挛. （缩略图，点击图片链接看原图） 海绵窦动脉 动脉瘤A–C, Right cavernous ICA aneurysm. A, Sagittal T1-weighted image shows a lesion with heterogeneous signal extending into the sphenoid sinus. B, On the T2-weighted axial image, the lesion arises from the medial aspect of the right cavernous ICA (long arrow) and has mixed signal intensity. The black regions, or signal void, are due to flowing blood in the patent portion of the aneurysm, whereas the area of higher signal intensity (short arrow) suggests either disturbed slow flow