Abstract
Introduction:
Tolosa-Hunt's syndrome is characterised by a painful, uni or bilateral, recurrent ophthalmoplegia, involving one or several ocular motor nerves. It is secondary to non-specific granulomatous infiltration of the cavernous sinus. It regresses rapidly with systemic corticosteroid therapy. Lymphomas involving the cavernous sinus may mimic a Tolosa-Hunt syndrome and hence delay diagnosis.
Observation:
A 39 year-old HIV-seropositive male consulted for a painful ophthalmoplegia revealing a generalised Burkitt lymphoma evoking Tolosa-Hunts' syndrome. The outcome was unfavourable.
Conclusion:
When confronted with a clinical picture evoking Tolosa-Hunt's syndrome, thorough examination is required to eliminate the localisation of a lymphoma or meningioma.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Adult
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Anti-Inflammatory Agents / administration & dosage
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Anti-Inflammatory Agents / therapeutic use
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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Bone Marrow Examination
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Burkitt Lymphoma / complications*
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Burkitt Lymphoma / diagnosis*
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Burkitt Lymphoma / therapy
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CD4 Lymphocyte Count
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Combined Modality Therapy
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Decompression, Surgical
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Diagnosis, Differential
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Escherichia coli Infections / etiology
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Fatal Outcome
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HIV Seropositivity / blood
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HIV Seropositivity / complications*
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HIV Seropositivity / immunology
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Humans
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Laminectomy
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Magnetic Resonance Imaging
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Male
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Nausea / etiology
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Pain / etiology
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Shock, Septic / etiology
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Spinal Cord Neoplasms / complications*
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Spinal Cord Neoplasms / diagnosis*
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Spinal Cord Neoplasms / therapy
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Steroids
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Tolosa-Hunt Syndrome / diagnosis*
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Tolosa-Hunt Syndrome / drug therapy
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Tolosa-Hunt Syndrome / etiology*
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Tomography, X-Ray Computed
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Vomiting / etiology
Substances
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Anti-Inflammatory Agents
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Steroids