[Tolosa-Hunt syndrome revealing Burkitt lymphoma in an HIV-seropositive patient].
BACKGROUND
Tolosa-Hunt's syndrome is characterised by a painful, uni or bilateral, recurrent ophthalmoplegia, involving one or several ocular motor nerves. It is secondary to non-specific granulomatous infiltration of the cavernous sinus. It regresses rapidly with systemic corticosteroid therapy. Lymphomas involving the cavernous sinus may mimic a Tolosa-Hunt syndrome and hence delay diagnosis.


METHODS
A 39 year-old HIV-seropositive male consulted for a painful ophthalmoplegia revealing a generalised Burkitt lymphoma evoking Tolosa-Hunts' syndrome. The outcome was unfavourable.


CONCLUSIONS
When confronted with a clinical picture evoking Tolosa-Hunt's syndrome, thorough examination is required to eliminate the localisation of a lymphoma or meningioma.
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001856:Bone Marrow Examination; D002051:Burkitt Lymphoma / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D018791:CD4 Lymphocyte Count; D003131:Combined Modality Therapy; D019299:Decompression, Surgical; D003937:Diagnosis, Differential; D004927:Escherichia coli Infections / Q000209:etiology; D017809:Fatal Outcome; D006679:HIV Seropositivity / Q000097:blood / Q000150:complications* / Q000276:immunology; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D009325:Nausea / Q000209:etiology; D010146:Pain / Q000209:etiology; D012772:Shock, Septic / Q000209:etiology; D013120:Spinal Cord Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D013256:Steroids; D020333:Tolosa-Hunt Syndrome / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014839:Vomiting / Q000209:etiology
D000893:Anti-Inflammatory Agents; D013256:Steroids