Tolosa Hunt Syndrome - A Case Study

A 29 -year-old female suffered from right-side throbbing headache over the region of the fifth cranial nerve first division, followed by right ptosis , double vision, fatigue and severe right lower limb pain for 3 days. As the symptoms were increased (lower limb pain and double vision), she consulted doctor and got admitted same day. After 4 days medical treatment, patient was referred to physiotherapy department for lower limb pain as headache got relived but lower limb pain persisted even being on continuous medications. Magnetic resonance (MR) imaging of brain, Lumbar Puncture and ENMG were negative. As lower limb pain was severe Physiotherapy treatment mainly focussed on reducing pain by using TENS and isometrics of lower limb muscles. However treatment plan was changed as per patients every day status. Treatment continued for over a period of 14 days which showed improvements in VAS score as well as Fatigue severity scale. Proper Physiotherapy management can dramatically relieve these symptoms with low dose analgesics or without analgesics to help individuals suffering from rare diseases like Tolosa Hunt syndrome. This case is to emphasize the role of physiotherapy in the treatment of symptoms of this condition.