Corredor Margarita M, Holmberg Peter J
Division of Pediatric Hospital Medicine, Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.
SAGE Open Med Case Rep. 2021 Jun 12;9:2050313X211024487. doi: 10.1177/2050313X211024487. eCollection 2021.
Tolosa-Hunt syndrome is an idiopathic, inflammatory condition involving the cavernous sinus and is characterized by unilateral, painful ophthalmoparesis. The condition often begins with retro-orbital pain followed by select cranial nerve involvement. We report the case of a 17-year-old female whose presentation with progressive left-sided headache and ophthalmoparesis culminated in the diagnosis of Tolosa-Hunt syndrome. While many of her signs and symptoms have been previously reported in the rare pediatric cases of Tolosa-Hunt syndrome described in the literature, this case illustrates a unique presentation involving cranial nerves V and VII in addition to the more commonly reported cranial nerve III, IV, and VI palsies.
托洛萨-亨特综合征是一种累及海绵窦的特发性炎症性疾病，其特征为单侧疼痛性眼肌麻痹。该病通常始于眶后疼痛，随后出现特定的颅神经受累。我们报告了一例17岁女性病例，其以进行性左侧头痛和眼肌麻痹为表现，最终被诊断为托洛萨-亨特综合征。虽然她的许多体征和症状在文献中描述的罕见小儿托洛萨-亨特综合征病例中已有报道，但该病例显示了一种独特的表现，除了更常见的颅神经III、IV和VI麻痹外，还累及颅神经V和VII。
