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SAGE Open Med Case Rep · Jan 2021
Case ReportsOphthalmoplegia and cranial nerve deficits in an adolescent with headache.
- Margarita M Corredor and Peter J Holmberg.
- Division of Pediatric Hospital Medicine, Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.
- SAGE Open Med Case Rep. 2021 Jan 1; 9: 2050313X211024487.
AbstractTolosa-Hunt syndrome is an idiopathic, inflammatory condition involving the cavernous sinus and is characterized by unilateral, painful ophthalmoparesis. The condition often begins with retro-orbital pain followed by select cranial nerve involvement. We report the case of a 17-year-old female whose presentation with progressive left-sided headache and ophthalmoparesis culminated in the diagnosis of Tolosa-Hunt syndrome. While many of her signs and symptoms have been previously reported in the rare pediatric cases of Tolosa-Hunt syndrome described in the literature, this case illustrates a unique presentation involving cranial nerves V and VII in addition to the more commonly reported cranial nerve III, IV, and VI palsies.© The Author(s) 2021.
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