Tolosa Hunt syndrome: case report

Authors

Keywords:

painful ophtalmoplegia, cavernous sinus, Tolosa - Hunt Syndrome, steroid

Abstract

ABSTRACT

Tolosa-Hunt syndrome is a rare clinical entity with controversial etiology and pathophysiological mechanisms. It is characterized by headache associated with paralysis of one or more cranial nerves, resulting in diplopia, strabismus, and ptosis, due to involvement of the cavernous sinus or superior orbital fissure. Diagnosis remains challenging and is considered within the differential diagnoses of painful ophthalmoplegia. In order to describe and update current knowledge about this condition, we present the case of a 14-year-old female patient who presented with severe headache, ocular pain, and cranial nerve involvement. Clinical findings and magnetic resonance imaging confirmed the diagnosis of Tolosa-Hunt syndrome. 

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Author Biographies

Francisco Antonio Aguilar Pineda , Médico residente de tercer año, Postgrado de Pediatría UNAH-VS

General Physician, Universidad Católica de Honduras

Pediatrics Residency trainee at the National Autonomous University of Honduras, Valle de Sula.

Gelder Zaldivar Pascua, Neurólogo Pediatra de HMCR

Pediatrician, graduate of the National Autonomous University of Honduras (UNAH).
Subspecialty in Pediatric Neurology, Mexico.
Attending Physician at Hospital Mario Catarino Rivas(HMCR)."

Carol Zúniga García, Neurólogo Pediátrica de HMCR

Pediatric Specialist, National Autonomous University of Honduras (UNAH).
Subspecialty in Pediatric Neurology at Hospital Mario Catarino Rivas .
Undergraduate Medicine Lecturer at the Universidad Católica de Honduras.

Paola Sophia Bonilla Medina, Médico especialista asistencial de la Sala de Medicina Pediátrica de HMCR

Pediatric Specialist, graduate of the National Autonomous University of Honduras (UNAH).
Subspecialty in Pediatric Endocrinology, Mexico.
Attending Physician at Hospital Mario Catarino Rivas (HMCR).

Jorge Villacorta, Médico especialista asistencial de la Sala de Medicina Pediátrica de HMCR

Pediatrician, graduate of the National Autonomous University of Honduras (UNAH).
Attending Physician at Hospital Mario Catarino Rivas (HMCR).

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Published

2025-12-06

How to Cite

Aguilar Pineda , F. A., Zaldivar Pascua, G., Zúniga García, C., Bonilla Medina, P. S., & Villacorta, J. (2025). Tolosa Hunt syndrome: case report . Acta Pediátrica Hondureña, 12(1), 1221–1225. Retrieved from https://www.camjol.info/index.php/PEDIATRICA/article/view/21062

Issue

Vol. 12 No. 1 (2021)

Section

Clinical Cases