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KMID : 0391520130210040268
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Journal of the Korean Child Neurology Society
2013 Volume.21 No. 4 p.268 ~ p.271
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Tolosa-Hunt Syndrome in a Child
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Na Ji-Hoon
Kim Hyo-Jeong
Lee Joon-Soo
Kim Heung-Dong
Kang Hoon-Chul
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Abstract
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Tolosa-Hunt syndrome is a rare disease caused by non-specific inflammation of the cavernous sinus, superior orbital fissure and the apex of the orbit. It is characterized by ophthalmoplegia, unilateral headache or periorbital pain. Brain magnetic resonance imaging (MRI) usually shows an inflammation of cavernous sinus. It is known that steroid pulse therapy is effective. In this case, we diagnosed a 12-year-old female with Tolosa-Hunt syndrome suffered from left ophthalmoplegia and left sided headache. Her Brain MRI showed mild enlargement of left cavernous sinus. After methylprednisolone pulse therapy and following dexamethasone treatment, her symptoms were markedly improved. In children who suffer from periorbiral pain and ophthalmoplegia, proper brain MRI could be helpful in differential diagnosis including Tolosa-Hunt syndrome.
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KEYWORD
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Tolosa-Hunt syndrome, Cavernous sinus, Ophthalmoplegia, Eye pain, Headache
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