| Tolosa-Hunt syndrome preceded by facial palsy in a child. | |
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MedLine Citation:
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PMID: 21147390 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report on a previously healthy 11-year-old boy with unilateral periorbital mild headache and facial nerve palsy, followed during the next 5 months by recurrent unilateral headaches and subsequent extrinsic paresis of the third cranial nerve and paresis of the sixth cranial nerve, each of which improved with steroids. Cranial magnetic resonance imaging revealed increased thickening of the left cavernous sinus and adjacent structures, with marked gadolinium enhancement. Eight months after the initial signs, he developed left retro-orbital headache that lasted 16 days and was relieved 24 hours after resuming steroid treatment. Recurrent multiple cranial neuropathies, neuroimaging findings, and long-lasting headache that responded to steroids indicated Tolosa-Hunt syndrome, further confirmed by extensive investigation and a long follow-up to exclude other causes. This patient illustrates the complexity of disorders with multiple cranial nerve palsies, and adds to the sparse literature on Tolosa-Hunt syndrome in children, describing the first pediatric case preceded by facial palsy. |
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Authors:
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Alfredo Cerisola; Gabriel González; Cristina Scavone |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Pediatric neurology Volume: 44 ISSN: 1873-5150 ISO Abbreviation: Pediatr. Neurol. Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2010-12-14 Completed Date: 2011-04-01 Revised Date: 2011-06-27 |
Medline Journal Info:
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Nlm Unique ID: 8508183 Medline TA: Pediatr Neurol Country: United States |
Other Details:
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Languages: eng Pagination: 61-4 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Pediatric Neurology, Tacuarembó Regional Hospital, Tacuarembó, Uruguay. alfredocerisola@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Inflammatory Agents
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therapeutic use Cavernous Sinus / pathology Child Cranial Nerve Diseases / complications, drug therapy, pathology Diplopia / etiology Facial Paralysis / complications*, pathology Headache / etiology Humans Magnetic Resonance Imaging Male Prednisone / therapeutic use Tolosa-Hunt Syndrome / complications*, drug therapy, pathology Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents; 53-03-2/Prednisone |
| Comments/Corrections | |
Comment In:
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Pediatr Neurol. 2011 Jun;44(6):478; author reply 478
[PMID:
21555063
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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