title: Not all headaches are migraines.
abstract: A 40-year-old Somali woman presented features of a right-sided cavernous sinus syndrome which was confirmed with neuroimaging. Although initial investigations were equivocal for an infectious etiology, subsequent investigations led to a diagnosis of tuberculosis as the cause for right-sided cavernous sinus syndrome. This case illustrates that, although the incidence of tuberculosis cavernous sinus syndrome is reportedly low, patients originating from tuberculosis endemic regions warrant scrupulous investigations in order not to miss the diagnosis and effect appropriate treatment.
authors.affiliation: Department of Neurology, Royal Melbourne Hospital, Parkville, Victoria, Australia; National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore.
authors.forename: Melissa
authors.initials: M
authors.lastname: Chih-Hui Tien
authors.affiliation: Department of Neurology, Royal Melbourne Hospital, Parkville, Victoria, Australia.
authors.forename: Prashanth
authors.initials: P
authors.lastname: Ramachandran
authors.affiliation: Department of Neurology, Royal Melbourne Hospital, Parkville, Victoria, Australia; University of Melbourne, Parkville, Victoria, Australia. Electronic address: Owen.White@mh.org.au.
authors.forename: Owen B
authors.initials: OB
authors.lastname: White
authors.affiliation: Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas, USA.
authors.forename: Andrew G
authors.initials: AG
authors.lastname: Lee
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D003937:Diagnosis, Differential; D005260:Female; D006261:Headache / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008881:Migraine Disorders / Q000175:diagnosis*; D009886:Ophthalmoplegia / Q000150:complications* / Q000175:diagnosis; D020333:Tolosa-Hunt Syndrome / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed
keywords: cavernous sinus; headache; lymphadenopathy; ophthalmoplegia; tuberculosis