Tolosa-Hunt syndrome in pediatric practice
<p> <b>E.V. Shishkina<sup>1</sup>, T.N. Bazilevskaya<sup>2</sup>, R.F. Izokhvatova<sup>2</sup>, I.V. Novikova<sup>2</sup>, Yu.V. Panfilova<sup>2</sup>, M.Yu. Galaktionova<sup>1</sup>, D.A. Maiseenko<sup>1</...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | Russian |
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LCC «Medicine-Inform»
2020-12-01
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| Series: | РМЖ. Мать и дитя |
| Online Access: | http://wchjournal.com/upload/iblock/939/939e23269cd3beb0253e329dfd1c1314.pdf |
| _version_ | 1797294944530989056 |
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| author | E.V. Shishkina T.N. Bazilevskaya R.F. Izokhvatova I.V. Novikova Yu.V. Panfilova M.Yu. Galaktionova D.A. Maiseenko |
| author_facet | E.V. Shishkina T.N. Bazilevskaya R.F. Izokhvatova I.V. Novikova Yu.V. Panfilova M.Yu. Galaktionova D.A. Maiseenko |
| author_sort | E.V. Shishkina |
| collection | DOAJ |
| description | <p>
<b>E.V. Shishkina<sup>1</sup>, T.N. Bazilevskaya<sup>2</sup>, R.F. Izokhvatova<sup>2</sup>, I.V. Novikova<sup>2</sup>, Yu.V. Panfilova<sup>2</sup>, M.Yu. Galaktionova<sup>1</sup>, D.A. Maiseenko<sup>1</sup></b>
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<b><sup>1</sup>Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russian Federation</b>
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<b><sup>2</sup>Krasnoyarsk Interregional Children’s Clinical Hospital, Krasnoyarsk, Russian Federation</b>
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<i>Tolosa-Hunt syndrome (THS) is a rare disease manifested with one or more cranial nerve disorders and orbital pain. In children, THS is diagnosed very rarely due to the lack of vigilance among physicians. Careful examination including MRI or helical CT help diagnose this disease. This paper discusses case history of THS in a child in the first ten years of life who has previously experienced similar episodes of ptosis and right-sided orbital pain; however, the cause of these symptoms has remained elusive. Disease anamnesis, clinical signs, neurological status, and additional diagnostic data are described in detail. Clinical course of THS with its relapses and remissions, rapid symptom regress after corticosteroid pulse therapy, and no specific granulomatous inflammation of the lateral wall of the cavernous sinus as demonstrated by MRI suggest idiopathic THS. The importance of in-depth neurological and general examination of patients with clinical signs of THS due to a variety o f the causes of this syndrome is highlighted.</i>
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<i><b>Keywords</b>: pediatrics, Tolosa-Hunt syndrome, ophthalmoplegia, superior orbital fissure, cavernous sinus, corticosteroids.</i>
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<i><b>For citation: </b>Shishkina E.V., Bazilevskaya T.N., Izokhvatova R.F. et al. Tolosa-Hunt syndrome in pediatric practice. Russian Journal of Woman and Child Health. 2020;3(4):336–339. DOI: 10.32364/2618-8430-2020-3-4-336-339.</i>
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| first_indexed | 2024-03-07T21:39:47Z |
| format | Article |
| id | doaj.art-ab6ee0bb772148b19e69aec1a1de67b2 |
| institution | Directory Open Access Journal |
| issn | 2618-8430 2686-7184 |
| language | Russian |
| last_indexed | 2024-03-07T21:39:47Z |
| publishDate | 2020-12-01 |
| publisher | LCC «Medicine-Inform» |
| record_format | Article |
| series | РМЖ. Мать и дитя |
| spelling | doaj.art-ab6ee0bb772148b19e69aec1a1de67b22024-02-26T10:13:32ZrusLCC «Medicine-Inform»РМЖ. Мать и дитя2618-84302686-71842020-12-013433137Tolosa-Hunt syndrome in pediatric practiceE.V. Shishkina0T.N. Bazilevskaya1R.F. Izokhvatova2I.V. Novikova3Yu.V. Panfilova4M.Yu. Galaktionova5D.A. Maiseenko6Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399<p> <b>E.V. Shishkina<sup>1</sup>, T.N. Bazilevskaya<sup>2</sup>, R.F. Izokhvatova<sup>2</sup>, I.V. Novikova<sup>2</sup>, Yu.V. Panfilova<sup>2</sup>, M.Yu. Galaktionova<sup>1</sup>, D.A. Maiseenko<sup>1</sup></b> </p> <p> <b><sup>1</sup>Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russian Federation</b> </p> <p> <b><sup>2</sup>Krasnoyarsk Interregional Children’s Clinical Hospital, Krasnoyarsk, Russian Federation</b> </p> <p> <i>Tolosa-Hunt syndrome (THS) is a rare disease manifested with one or more cranial nerve disorders and orbital pain. In children, THS is diagnosed very rarely due to the lack of vigilance among physicians. Careful examination including MRI or helical CT help diagnose this disease. This paper discusses case history of THS in a child in the first ten years of life who has previously experienced similar episodes of ptosis and right-sided orbital pain; however, the cause of these symptoms has remained elusive. Disease anamnesis, clinical signs, neurological status, and additional diagnostic data are described in detail. Clinical course of THS with its relapses and remissions, rapid symptom regress after corticosteroid pulse therapy, and no specific granulomatous inflammation of the lateral wall of the cavernous sinus as demonstrated by MRI suggest idiopathic THS. The importance of in-depth neurological and general examination of patients with clinical signs of THS due to a variety o f the causes of this syndrome is highlighted.</i> </p> <p> <i><b>Keywords</b>: pediatrics, Tolosa-Hunt syndrome, ophthalmoplegia, superior orbital fissure, cavernous sinus, corticosteroids.</i> </p> <p> <i><b>For citation: </b>Shishkina E.V., Bazilevskaya T.N., Izokhvatova R.F. et al. Tolosa-Hunt syndrome in pediatric practice. Russian Journal of Woman and Child Health. 2020;3(4):336–339. DOI: 10.32364/2618-8430-2020-3-4-336-339.</i> </p>http://wchjournal.com/upload/iblock/939/939e23269cd3beb0253e329dfd1c1314.pdf |
| spellingShingle | E.V. Shishkina T.N. Bazilevskaya R.F. Izokhvatova I.V. Novikova Yu.V. Panfilova M.Yu. Galaktionova D.A. Maiseenko Tolosa-Hunt syndrome in pediatric practice РМЖ. Мать и дитя |
| title | Tolosa-Hunt syndrome in pediatric practice |
| title_full | Tolosa-Hunt syndrome in pediatric practice |
| title_fullStr | Tolosa-Hunt syndrome in pediatric practice |
| title_full_unstemmed | Tolosa-Hunt syndrome in pediatric practice |
| title_short | Tolosa-Hunt syndrome in pediatric practice |
| title_sort | tolosa hunt syndrome in pediatric practice |
| url | http://wchjournal.com/upload/iblock/939/939e23269cd3beb0253e329dfd1c1314.pdf |
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