Recurrent Tolosa Hunt Syndrome, After Cervical Spine Surgery: Case Report

Background and Importance: Tolosa hunt syndrome (THS) is a rare ophthalmoplegia that occurs in one person per million people.Clinical presentation, magnetic resonance imaging (MRI) findings, and a good response to steroids are used to diagnose THS. Case Presentation:We present a 59-year-old man with right ophthalmodynia and ophthalmoplegia after cervical laminectomy and surgical site infection (SSI).After the first course of low-dose dexamethasone, the patient's symptoms relapsed within a short time.During the second course of treatment, high-dose dexamethasone was administered.The symptoms were treated without relapse within one year. Conclusion:Infection, such as SSI, can trigger THS.Also, high-dose dexamethasone and longer treatment periods can prevent short-term recurrence of THS.