{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T19:15:37Z","timestamp":1777490137197,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2014,6,17]],"date-time":"2014-06-17T00:00:00Z","timestamp":1402963200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cephalalgia"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We are reporting a rare case of a 60-year-old woman with a past history of end-stage renal disease and non-Hodgkin lymphoma who presented to our hospital with confusion, unilateral headache, painful ophthalmoplegia and ptosis. The patient was diagnosed clinically with Tolosa-Hunt syndrome (THS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>THS is a diagnosis of exclusion. Other diseases were ruled out. Magnetic resonance imaging (MRI) of the brain and orbit was negative twice within a week. The patient was treated with corticosteroids with marked improvement of the orbital pain and headache and mild improvement of the cranial nerves palsy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Clinical diagnosis of THS could be supported by radiological findings. According to the International Classification of Headache Disorders (ICHD)-3 beta diagnostic criteria, the diagnosis must be confirmed with an abnormal MRI and\/or pathological sample. We add to the previous findings of THS with a normal MRI. Although MRI plays a crucial role in differential diagnosis, it should not, nor should the biopsy, be a must for the diagnosis. Limitations of using MRI in some patients are another problem.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0333102414539053","type":"journal-article","created":{"date-parts":[[2014,6,17]],"date-time":"2014-06-17T23:08:21Z","timestamp":1403046501000},"page":"449-452","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Probable Tolosa-Hunt syndrome with a normal MRI"],"prefix":"10.1177","volume":"35","author":[{"given":"Mahmoud","family":"Abdelghany","sequence":"first","affiliation":[{"name":"Department of Medicine, Conemaugh Memorial Medical Center, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Orozco","sequence":"additional","affiliation":[{"name":"Department of Neurology, Conemaugh Memorial Medical Center, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Fink","sequence":"additional","affiliation":[{"name":"Department of Medicine, Conemaugh Memorial Medical Center, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Begley","sequence":"additional","affiliation":[{"name":"Department of Medicine, Conemaugh Memorial Medical Center, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,6,17]]},"reference":[{"key":"bibr1-0333102414539053","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.17.4.300"},{"key":"bibr2-0333102414539053","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.11.1.56"},{"key":"bibr3-0333102414539053","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1046\/j.1468-2982.1988.0801001.x","volume":"8","author":"Classification Committee of the International Headache Society","year":"1988","journal-title":"Cephalalgia"},{"key":"bibr4-0333102414539053","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1111\/j.1468-2982.2003.00824.x","volume":"24","author":"Classification Committee of the International Headache Society","year":"2004","journal-title":"Cephalalgia"},{"key":"bibr5-0333102414539053","doi-asserted-by":"publisher","DOI":"10.1177\/0333102413485658"},{"key":"bibr6-0333102414539053","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.71.5.577"},{"key":"bibr7-0333102414539053","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-002-0818-x"},{"key":"bibr8-0333102414539053","doi-asserted-by":"publisher","DOI":"10.1016\/S0720-048X(02)00012-8"},{"key":"bibr9-0333102414539053","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-004-1550-6"},{"key":"bibr10-0333102414539053","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2982.2006.01115.x"},{"key":"bibr11-0333102414539053","doi-asserted-by":"crossref","unstructured":"Zhang X, Zhou Z, Steiner TJ, et\u00a0al. Validation of ICHD-3 beta diagnostic criteria for 13.7 Tolosa-Hunt syndrome: Analysis of 77 cases of painful ophthalmoplegia.\n                      Cephalalgia.\n                      Epub ahead of print 29 January 2014. DOI: 10.1177\/0333102413520082.","DOI":"10.1177\/0333102413520082"},{"key":"bibr12-0333102414539053","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2982.2008.01569.x"},{"key":"bibr13-0333102414539053","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61442-7"}],"container-title":["Cephalalgia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0333102414539053","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0333102414539053","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0333102414539053","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:46:23Z","timestamp":1777387583000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0333102414539053"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6,17]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2015,4]]}},"alternative-id":["10.1177\/0333102414539053"],"URL":"https:\/\/doi.org\/10.1177\/0333102414539053","relation":{},"ISSN":["0333-1024","1468-2982"],"issn-type":[{"value":"0333-1024","type":"print"},{"value":"1468-2982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,6,17]]}}}