Cavernous sinus lymphoma mimicking Tolosa-Hunt syndrome

Tolosa-Hunt syndrome is characterized by painful ophthalmoplegia due to idiopathic granulomatous inflammation of the cavernous sinus. Steroid therapy dramatically reverses the symptoms and clinical signs. Because they also may respond to steroids, tumors such as lymphoma and meningioma and orbital t...

Full description

Saved in:
Bibliographic Details
Published in:La revue de medecine interne 2000-09, Vol.21 (9), p.795-798
Main Authors: Attout, H, Rahmeh, F, Ziegler, F
Format: Article
Language:fre
Subjects:
Aged
Anti-Inflammatory Agents - therapeutic use
Biopsy, Needle
Bone Marrow Examination
Cavernous Sinus
Diagnosis, Differential
Diplopia - etiology
Disease Progression
Giant Cell Arteritis - diagnosis
Humans
Inflammation
Leukemia, Lymphocytic, Chronic, B-Cell - complications
Leukemia, Lymphocytic, Chronic, B-Cell - diagnosis
Leukemia, Lymphocytic, Chronic, B-Cell - therapy
Magnetic Resonance Imaging
Male
Steroids
Tolosa-Hunt Syndrome - diagnosis
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Tolosa-Hunt syndrome is characterized by painful ophthalmoplegia due to idiopathic granulomatous inflammation of the cavernous sinus. Steroid therapy dramatically reverses the symptoms and clinical signs. Because they also may respond to steroids, tumors such as lymphoma and meningioma and orbital tumors can make differential diagnosis difficult. We report the case of a 78-year-old male patient in whom systemic lymphoma associated with inflammation of the cavernous sinus was uncovered by painful, gradually progressing, ophthalmoplegia mimicking Tolosa-Hunt syndrome. When faced with a clinical picture suggestive of the existence of Tolosa-Hunt syndrome clinical workup is mandatory and should lead to diagnosis of exclusion.
ISSN:0248-8663
DOI:10.1016/s0248-8663(00)00226-5