Abstract
Pediatric Tolosa-Hunt syndrome is a rare disease, and data regarding its course and treatment responses derive from only a few case reports. Hence we thank Cerisola et al. for their report on pediatric Tolosa-Hunt syndrome preceded by facial nerve palsy [1]. The patient in this report presents one of the most interesting clinical cases in terms of the profound impact on cranial neuropathy in Tolosa-Hunt syndrome. This case supports two previously published contentions [2]: (1) a revision of the diagnostic criteria for Tolosa-Hunt syndrome is necessary (i.e., the resolution of cranial nerve palsies after steroid therapy should not be limited to 72 hours); and (2) the lack of specific management in pediatric patients with Tolosa-Hunt syndrome may result in treatment failure as well as corticosteroid dependence.
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