A 17-Year-Old Girl With Unilateral Headache and Double Vision.
Repository Usage Stats
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.
Magnetic Resonance Imaging
Published Version (Please cite this version)10.1177/2324709619838309
Publication InfoRodriguez-Homs, Larissa G; Goerlitz-Jessen, Mark; & Das, Samrat U (2019). A 17-Year-Old Girl With Unilateral Headache and Double Vision. Journal of investigative medicine high impact case reports, 7. pp. 2324709619838309. 10.1177/2324709619838309. Retrieved from https://hdl.handle.net/10161/22555.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
More InfoShow full item record
Associate Professor of Pediatrics
My interests include pediatric hospital medicine, graduate and undergraduate medical education, inter professional education, simulation education and observational studies to improve clinical practice in the area of inpatient pediatrics.