A 17-Year-Old Girl With Unilateral Headache and Double Vision.

Journal Article (Journal Article)

Tolosa-Hunt syndrome is characterized by a painful ophthalmoplegia secondary to a granulomatous inflammation in or adjacent to the cavernous sinus. Magnetic resonance imaging will show enhancement of the cavernous sinus and/or the orbital apex. Although this syndrome is extremely rare in children, it should be a diagnostic consideration in patients presenting with painful ophthalmoplegia with variable involvement of cranial nerves II to VI. The differential diagnosis for unilateral cavernous sinus lesion is broad, including vascular lesions (cavernous sinus thrombosis), inflammatory processes (sarcoidosis, autoimmune), neoplastic processes (schwannoma, lymphoma), as well as infectious etiologies. We describe a pediatric patient presenting with neurological symptoms from a unilateral cavernous sinus magnetic resonance imaging abnormality and the thorough diagnostic approach to arrive at the diagnosis of Tolosa-Hunt syndrome.

Full Text

Duke Authors

Cited Authors

  • Rodriguez-Homs, LG; Goerlitz-Jessen, M; Das, SU

Published Date

  • 2019

Published In

Volume / Issue

  • 7 /

Start / End Page

  • 2324709619838309 -

PubMed ID

  • 31010318

Pubmed Central ID

  • PMC6480981

Electronic International Standard Serial Number (EISSN)

  • 2324-7096

Digital Object Identifier (DOI)

  • 10.1177/2324709619838309


  • eng

Conference Location

  • United States