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  • Title: Lymphoma of the cavernous sinus mimicking Tolosa-Hunt syndrome in a child.
    Author: Demirkaya M, Sevinir B, Ozdemir O, Nazlioğlu HO, Okan M.
    Journal: Pediatr Neurol; 2010 May; 42(5):351-4. PubMed ID: 20399391.
    Abstract:
    Some children with malignancies initially present with neurologic signs. Cavernous sinus syndrome is a rare manifestation of lymphomas, more commonly reported in adults. A patient presenting with third and fourth cranial nerve palsies was initially thought to manifest Tolosa-Hunt syndrome, but during follow-up a diagnosis of lymphoma without systemic involvement was established. This patient is the youngest, to our knowledge, to be diagnosed with primary cavernous sinus lymphoma. He remains in remission 5 years after chemotherapy. Malignancies (especially non-Hodgkin's lymphoma) should be considered in young children with cavernous sinus syndrome, even without systemic involvement.
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