Lymphoma of the cavernous sinus mimicking Tolosa-Hunt syndrome in a child.
Some children with malignancies initially present with neurologic signs. Cavernous sinus syndrome is a rare manifestation of lymphomas, more commonly reported in adults. A patient presenting with third and fourth cranial nerve palsies was initially thought to manifest Tolosa-Hunt syndrome, but during follow-up a diagnosis of lymphoma without systemic involvement was established. This patient is the youngest, to our knowledge, to be diagnosed with primary cavernous sinus lymphoma. He remains in remission 5 years after chemotherapy. Malignancies (especially non-Hodgkin's lymphoma) should be considered in young children with cavernous sinus syndrome, even without systemic involvement.
Demirkaya
Metin
M
Department of Pediatric Oncology, Faculty of Medicine, Uludag University, 16059 Görükle, Bursa, Turkey. demirkaya@uludag.edu.tr
Sevinir
Betül
B
Ozdemir
Ozlem
O
Nazlioğlu
Hülya Oztürk
HO
Okan
Mehmet
M
D001932:Brain Neoplasms / Q000175:diagnosis* / Q000188:drug therapy; D002426:Cavernous Sinus / Q000473:pathology*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D011239:Prednisolone / Q000627:therapeutic use; D020333:Tolosa-Hunt Syndrome / Q000175:diagnosis* / Q000188:drug therapy
D011239:Prednisolone