title: 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.affiliation: Department of Pediatrics, Keio University School of Medicine, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Maezawa
authors.forename: T
authors.initials: T
authors.lastname: Seki
authors.forename: S
authors.initials: S
authors.lastname: Imura
authors.forename: M
authors.initials: M
authors.lastname: Hotta
authors.forename: Y
authors.initials: Y
authors.lastname: Yuasa
mesh_terms: D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009886:Ophthalmoplegia / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D011239:Prednisolone / Q000627:therapeutic use*; D015524:Sphenoid Sinusitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D011239:Prednisolone