title: An unusual case of pediatric painless ophthalmoplegia.
abstract: Acquired unilateral ophthalmoplegia in childhood has many potential causes. Tolosa-Hunt Syndrome is characterized by painful ophthalmoplegia caused by nonspecific inflammation of cavernous sinus or superior orbital fissure. It is rarely present in children. Corticosteroid treatment is the current mainstay of treatment but cases of THS that failed to respond to steroids have been reported. We report a case of cavernous sinus pseudotumour presenting as a painless ophthalmoplegia in a child, in which complete resolution was spontaneous. To our knowledge, such a case has never been reported in the literature.
authors.affiliation: Department of Ophthalmology, Royal Aberdeen Children Hospital, Aberdeen, UK. kurtsc01@yahoo.co.uk
authors.forename: K Spiteri
authors.initials: KS
authors.lastname: Cornish
authors.forename: D Spiteri
authors.initials: DS
authors.lastname: Cornish
authors.forename: M
authors.initials: M
authors.lastname: Vella
mesh_terms: D002426:Cavernous Sinus / Q000473:pathology*; D002648:Child; D058447:Eye Pain / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis; D009886:Ophthalmoplegia / Q000175:diagnosis*; D012075:Remission, Spontaneous; D020333:Tolosa-Hunt Syndrome / Q000175:diagnosis*