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

dc.contributor.author

Rodriguez-Homs, Larissa G

dc.contributor.author

Goerlitz-Jessen, Mark

dc.contributor.author

Das, Samrat U

dc.date.accessioned

2021-04-05T02:20:28Z

dc.date.available

2021-04-05T02:20:28Z

dc.date.issued

2019-01

dc.date.updated

2021-04-05T02:20:27Z

dc.description.abstract

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.

dc.identifier.issn

2324-7096

dc.identifier.issn

2324-7096

dc.identifier.uri

https://hdl.handle.net/10161/22555

dc.language

eng

dc.publisher

SAGE Publications

dc.relation.ispartof

Journal of investigative medicine high impact case reports

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10.1177/2324709619838309

dc.subject

Cavernous Sinus

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Humans

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Tolosa-Hunt Syndrome

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Headache

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Diplopia

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Glucocorticoids

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Diagnosis, Differential

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Magnetic Resonance Imaging

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Image Enhancement

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Adolescent

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Female

dc.title

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

dc.type

Journal article

duke.contributor.orcid

Das, Samrat U|0000-0002-0601-0539

pubs.begin-page

2324709619838309

pubs.organisational-group

School of Medicine

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Duke

pubs.publication-status

Published

pubs.volume

7

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