Steroid-responsive painful ophthalmoplegia in childhood: sphenoid sinusitis presenting as Tolosa-Hunt syndrome.

Abstract

A childhood case of painful ophthalmoplegia which responded well to steroids was described. Although the clinical features suggested Tolosa-Hunt syndrome (THS), serial magnetic resonance imagings (MRI) revealed ethmoid and sphenoid sinusitis in this 7-year-old boy. It was considered that multiple factors such as allergy, viral infection and swimming predisposed him to develop severe sinusitis and gave rise to his painful ophthalmoplegia.

• Authors: M Maezawa, T Seki, S Imura, M Hotta, Y Yuasa
• Journal: Brain & development (Brain Dev) Vol. 13 Issue 4 Pg. 279-82 (Jul 1991) ISSN: 0387-7604 [Print] Netherlands
• PMID: 1957978 (Publication Type: Case Reports, Journal Article)

Chemical References

• Prednisolone

Topics

• Child
• Diagnosis, Differential
• Humans
• Magnetic Resonance Imaging
• Male
• Ophthalmoplegia (diagnosis, drug therapy, etiology)
• Prednisolone (therapeutic use)
• Sphenoid Sinusitis (complications, diagnosis, drug therapy)