Abstract
The case of a 59-year-old man who had been undergoing maintenance hemodialysis therapy since 1990 because of rapidly progressive glomerulonephritis (RPGN), who developed Tolosa-Hunt syndrome (THS), is presented.
The patient experienced the gradual onset of painful right ophthalmoplegia with eye movement disturbance beginning two years after the start of hemodialysis therapy. A right carotid angiogram showed narrowing of the right internal carotid artery within the cavernous sinus portion, and his clinical manifestations improved with steroid therapy. Recently, it has been claimed that THS may be only one manifestation of venous vasculitis. These findings suggested a diagnosis of THS, but Wegener's granulomatosis (WG) was also suspected because of the presence of RPGN with transient pulmonary bleeding.
