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- Title
A 57‐year‐old man with painful ophthalmoplegia and cavernous sinus involvement: Why this is not Tolosa–Hunt syndrome.
- Authors
Rodríguez, Saúl Silvarrey; Gómez‐Muga, Juan José; Onandi, Rebeca Ruiz; Gallarreta, Zuriñe Diez; García‐Moncó, Juan Carlos
- Abstract
Tolosa–Hunt syndrome (THS) is an idiopathic condition included in the differential diagnosis of painful ophthalmoplegia. Although this was once a common diagnosis, the increasing availability of tests reveals an alternative etiology in many cases. Exclusion of treatable disorders is important, because the prognosis may otherwise be poor. We here describe a patient who presented with painful ophthalmoplegia with an infiltrating lesion in the cavernous sinus. Initially suspected of THS, he had a fatal evolution, and postmortem evaluation revealed cervicocephalic actinomycosis. Actinomycosis diagnosis is often missed, and still represents a challenge to the clinician. We highlight pearls and pitfalls to establish a proper diagnosis to avoid missing a treatable condition in patients with suspected THS.
- Subjects
TOULOUSE (France); CAVERNOUS sinus; EYE paralysis; ACTINOMYCOSIS; SYNDROMES; DIFFERENTIAL diagnosis; POSTMORTEM changes
- Publication
European Journal of Neurology, 2022, Vol 29, Issue 10, p3127
- ISSN
1351-5101
- Publication type
Article
- DOI
10.1111/ene.15426