title: Tolosa-Hunt syndrome in children.
abstract: We report a case of Tolosa-Hunt syndrome in a 4-year-old girl. Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) revealed a left cavernous sinus involvement with internal carotid artery occlusion. Clinical signs included left ophthalmoplegia, convulsions and right hemiplegia. Etiopathogenesis of this syndrome is unclear but as in our case, response to corticosteroid therapy is spectacular and avoids unnecessary invasive diagnostic procedures. We underline the importance of cross-sectional imaging in the diagnostic approach. Several other diseases including tumors, vascular lesions and infections can have a similar clinical and/or imaging presentation. However, closely monitored evolution on imaging proves to be decisive in the establishment of final diagnosis of this syndrome.
authors.affiliation: Department of Radiology, Queen Fabiola University Hospital for Children, Brussels, Belgium.
authors.forename: D E
authors.initials: DE
authors.lastname: Benzohra
authors.forename: N
authors.initials: N
authors.lastname: Damry
authors.forename: I
authors.initials: I
authors.lastname: Delpierre
authors.forename: S
authors.initials: S
authors.lastname: Huybrechts
authors.forename: A
authors.initials: A
authors.lastname: Monier
authors.forename: C
authors.initials: C
authors.lastname: Christophe
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D020333:Tolosa-Hunt Syndrome / Q000175:diagnosis* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed
chemical_list: D000305:Adrenal Cortex Hormones