Tolosa-Hunt syndrome after COVID-19 infection

Tolosa-Hunt syndrome (THS) is a rare, idiopathic, non-specific inflammation within the cavernous sinus and/or superior orbital fissure leading to painful ophthalmoplegia. The authors describe the first case of a 12-year-old otherwise healthy girl who presented with painful ophthalmoplegia after a do...

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Bibliographic Details
Published inCephalalgia reports Vol. 5
Main Authors Etheridge, Tyler, Jones, Jordan, Caskey, Eric L, Digre, Kathleen B, Warner, Judith EA, Seay, Meagan D
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 24.02.2022
Sage Publications Ltd
SAGE Publishing
Subjects
Corticosteroids
COVID-19
Inflammation
Neuroimaging
Ophthalmoplegia
Pain
Sinuses
COVID-19
Tolosa-Hunt syndrome
SARS-CoV-2
ophthalmoplegia
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Summary:Tolosa-Hunt syndrome (THS) is a rare, idiopathic, non-specific inflammation within the cavernous sinus and/or superior orbital fissure leading to painful ophthalmoplegia. The authors describe the first case of a 12-year-old otherwise healthy girl who presented with painful ophthalmoplegia after a documented COVID-19 infection. Neuroimaging revealed inflammation within the ipsilateral cavernous sinus, Meckel’s cave, and orbital apex. After a comprehensive work-up was negative, the patient experienced prompt clinical and radiographic improvement with high-dose corticosteroids, and a diagnosis of THS was made.
ISSN:2515-8163
2515-8163
DOI:10.1177/25158163221078977