Recurrent Tolosa-Hunt Syndrome in a Child Accompanied by Idiopathic Aseptic Meningitis

Abstract

Tolosa-Hunt syndrome (THS) is an idiopathic sterile granulomatous inflammation of the cavernous sinus, characterized by painful ophthalmoplegia.1 Magnetic resonance imaging (MRI)–proven or biopsy-proven granulomatous inflammation of the cavernous sinus, superior orbital fissure, or orbit is required for the diagnosis of THS according to the International Classification of Headache Disorders (ICHD) criteria.1 Although corticosteroids are highly effective,2 THS often recurs and no standard corticosteroid dose has been defined.