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William E. Hunt

✓ The author reports 12 cases of Tolosa-Hunt syndrome, a benign steroid-resistant cryptogenic granuloma that presents as painful ophthalmoplegia. This syndrome is differentiated from other causes of painful ophthalmoplegia including tumors, aneurysms, collagen disease, specific infections, mucoceles, and benign granulomas of unknown etiology. These other conditions should be excluded by appropriate tests. Surgical exploration is not necessary if there is a prompt remission on steroid therapy.

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Timir Banerjee and William E. Hunt

✓ A case of spinal cord sarcoidosis simulating an intramedullary tumor is presented. Surgical intervention increased the neurological deficit which was subsequently decreased by steroid therapy. The common complications are discussed and the need for extensive physical therapy emphasized.

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The Carpal-Tunnel Syndrome

Diagnosis and Treatment

William E. Hunt and William T. Luckey

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Edward J. Kosnik and William E. Hunt

✓ Elevation of systemic arterial pressure in seven patients with intracranial arterial aneurysms has been shown to be effective in alleviating ischemic symptoms attributed to cerebral vasospasm. Autoregulation is at least partially lost in patients with cerebral hemodynamic crisis. Blood volume expansion was used to augment vasopressors in maintenance of systemic hypertension. The management of these cases is discussed. Caution in the use of this technique is advised, since the regimen is not without risk.