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  • Title: Steroid-responsive painful ophthalmoplegia in childhood: sphenoid sinusitis presenting as Tolosa-Hunt syndrome.
    Author: Maezawa M, Seki T, Imura S, Hotta M, Yuasa Y.
    Journal: Brain Dev; 1991 Jul; 13(4):279-82. PubMed ID: 1957978.
    Abstract:
    A childhood case of painful ophthalmoplegia which responded well to steroids was described. Although the clinical features suggested Tolosa-Hunt syndrome (THS), serial magnetic resonance imagings (MRI) revealed ethmoid and sphenoid sinusitis in this 7-year-old boy. It was considered that multiple factors such as allergy, viral infection and swimming predisposed him to develop severe sinusitis and gave rise to his painful ophthalmoplegia.
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