An Unusual Presentation of Cavernous Sinus Syndrome in a Pediatric Patient

Abstract

Cavernous sinus syndrome in pediatrics is a rare condition with poorly understood epidemiology. Tolosa Hunt syndrome is characterized by severe and unilateral periorbital headaches accompanied by restricted and painful eye movements. We present a 6-year-old female patient with symptoms of right eye ptosis, diplopia, and recurrent headaches of varying duration. Initial non-contrast MRI showed 2.8 x 2.1 cm mass expanding the right cavernous sinus with extension into Meckel’s cave and Dorello’s canal. Patient was started on IV corticosteroids on hospital admission and after 2-3 days, eye movements improved.