Sravanthi Vegunta, John Bohnsack, Alison Crum, Kathleen Digre, Bradley Katz, Meagan Seay, Edward Quigley, Sean Kennedy, Nick Mamalis, Judith Warner
An 11-year-old boy presented with 2 weeks of intermittent headache, right orbital pain, and constant diplopia. Brain MRI showed dural thickening and enhancement of the right lateral cavernous sinus, right orbital apex, and tentorium. Initial cerebral spinal fluid analysis showed only mild pleocytosis, and serum diagnostics were unrevealing. The working diagnosis was Tolosa-Hunt syndrome. His pain and sixth nerve palsy resolved with corticosteroids. Five months after initial presentation, he developed new numbness of the right cheek, complete right ophthalmoplegia, and weakness and numbness of his right hand and leg, all of which were responsive to steroids...
December 1, 2021: Journal of Neuro-ophthalmology: the Official Journal of the North American Neuro-Ophthalmology Society