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12 Possible Causes for Cerebrospinal Fluid Culture Negative, Tolosa-Hunt Syndrome

  • Spinal Pachymeningitis

    The cerebrospinal fluid stains and cultures for fungi and mycobacterium were negative, as was the serology for c-ANCA.[omicsonline.org] Idiopathic hypertrophic cranial pachymeningitis masquerading as Tolosa-Hunt syndrome. J Clin Neurosci 2005 ; 12 : 589 –92 Charcot JM, Joffroy A.[ajnr.org] The protein level in the cerebrospinal fluid (CSF) was elevated [2.48 g/L] (normal range 0.15-0.45) but there were no cells or organisms.[ispub.com]

  • Tolosa-Hunt Syndrome

    The routine cerebrospinal fluid examination and cerebrospinal fluid culture did not reveal any pathologic findings. Edrophonium chloride test was negative.[em-consulte.com] […] the cavernous sinus or superior orbital fissure Painful ophthalmoplegia Tolosa Hunt syndrome edit English tolosa-hunt syndrome Human disease Tolosa-Hunt syndrome Tolosa-Hunt[wikidata.org] There have been no reports of an infectious organism associated with Tolosa-Hunt syndrome. Aetiology The aetiology of Tolosa-Hunt syndrome remains unknown.[jnnp.bmj.com]

  • Painful Ophthalmoplegia

    They are all negative. Also, cerebrospinal fluid (CSF) testing is remarkable for a glucose of 99, a protein of 93, and one white blood cell.[acepnow.com] […] the cavernous sinus or superior orbital fissure Painful ophthalmoplegia Tolosa Hunt syndrome edit English tolosa-hunt syndrome Human disease Tolosa-Hunt syndrome Tolosa-Hunt[wikidata.org] There have been no reports of an infectious organism associated with Tolosa-Hunt syndrome. Aetiology The aetiology of Tolosa-Hunt syndrome remains unknown.[jnnp.bmj.com]

  • Cranial Neuropathy

    Sputum culture was positive for Streptococcus A cerebrospinal fluid (CSF) tap was done; bacterial, fungal and acid-fast bacillus direct smears were negative.[ijo.in] Abstract Two patients are described who had suffered for 12 years from episodes of painful ophthalmoplegia consistent with a Tolosa-Hunt syndrome (THS) alternating with palsies[ncbi.nlm.nih.gov] Ten patients developed Tolosa-Hunt syndrome during the course of their illness. Laboratory findings and CSF were normal.[ncbi.nlm.nih.gov]

  • Orbital Disease

    Special Tests Cultures and/or Gram stain: blood, conjunctiva, nasopharynx, external wounds, cerebrospinal fluid, as necessary.[entokey.com] It is the most common painful orbital mass in the adult population, and is associated with proptosis, cranial nerve palsy ( TolosaHunt syndrome ), uveitis, and retinal detachment[en.wikipedia.org] Idiopathic inflammatory pseudotumor of the orbit and TolosaHunt syndrome—are they the same disease?[nature.com]

  • Ophthalmoplegia

    According to the analysis, cerebrospinal fluid (CSF) was acellular and showed a high protein concentration (69 mg/dL); all other parameters were within normal ranges.[elsevier.es] Hunt syndrome Tolosa-Hunt syndrome ICD-9-CM Volume 2 Index entries containing back-references to 378.55 :[icd9data.com] Painful ophthalmoplegia can also be caused by an inflammatory process in the same area, called Tolosa-Hunt syndrome.[encyclopedia.com]

  • Gradenigo's Syndrome

    Tests for urine antigens for Histoplasma and Blastomyces were negative, and blood culture results were negative. The results of cerebrospinal fluid analysis were normal.[academic.oup.com] Hemifacial Pain Accompanied with Delayed Ipsilateral Abducens Nerve Palsy: Tolosa-Hunt Syndrome -A case report-. The Korean Journal of Pain, Vol. 19, Issue. 1, p. 104.[cambridge.org] […] aneurysms Tolosa-Hunt syndrome ( idiopathic granulomatous inflammation of the cavernous sinus ) Clinical features Swelling of the conjunctiva Proptosis Signs of CN palsy[amboss.com]

  • Meningitis

    Negative cerebrospinal fluid cultures occur in 11 to 30 percent of patients with bacterial meningitis. 4-23 No significant differences in clinical presentation have been reported[doi.org] […] lymphocyte infiltration and inflammatory cells are classified, according to their topography, into idiopathic orbital pathology, idiopathic hypertrophic pachymeningitis, Tolosa-Hunt[neurologia.com] Hypopituitarism and diabetes insipidus with localized hypertrophic pachymeningitis (Tolosa-Hunt syndrome) associated with Hashimoto thyroiditis.[springermedizin.de]

  • Myositis

    Cerebrospinal fluid culture showed no growth of any bacteria. Examination of cerebrospinal fluid revealed a normal IgG index (0.7; normal values 0.3–0.7).[ncbi.nlm.nih.gov] […] pre-septal or orbital cellulitis, tuberculosis) Myositis with associated auto-immune mediated systemic disease Carotid-cavernous fistula IgG4-related disease Optic neuritis Tolosa-Hunt[webeye.ophth.uiowa.edu] Cerebrospinal fluid polymerase chain reaction (PCR) was negative for adenovirus, varicella zoster virus, herpes simplex virus, and enterovirus.[ncbi.nlm.nih.gov]

  • Neurosarcoidosis

    In particular, cerebrospinal fluid (CSF) in patients with neurosarcoidosis may demonstrate elevated lymphocytes and increased ACE with a negative culture. [8] Imaging in these[asianjns.org] As for as clinical presentation, in three patients (50 %), headache had the clinical characteristics of Tolosa-Hunt syndrome, with evidence of a lesion into the cavernous[ncbi.nlm.nih.gov] It is closely related to other inflammatory conditions in the region, namely orbital pseudotumour and Tolosa-Hunt syndrome.[radiopaedia.org]

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