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Pediatric Tolosa-Hunt Syndrome with Ptosis and Transient Periorbital Headache.
Neuropediatrics
August 2024
Department of Pediatrics, Showa General Hospital, Tokyo, Japan.
Tolosa-Hunt syndrome and recurrent painful ophthalmoplegic neuropathy, case reports: what to do and when?
Ital J Pediatr
November 2023
Child Neurology Unit, Arcispedale Santa Maria Nuova Hospital - IRCCS, Viale Risorgimento 80, Reggio Emilia, 42123, Italy.
Background: Tolosa-Hunt syndrome (THS) and recurrent painful ophthalmoplegic neuropathy (RPON) are rare diseases reported within the "Painful lesions of the cranial nerves" section of the International Classification of Headache Disorders-3 edition (ICHD-3). In case of a first painful attack, differential diagnosis could be challenging and many pitfalls are due to the rarity of the disorders and the lack of information about correct medical management in youngsters.
Case Presentation: Our main purpose was to report a new case of THS and a new case of RPON describing management and diagnostic investigation at the time of the first episode.
Recurrent painful ophthalmoplegic neuropathy: a report of two new pediatric cases.
Turk J Pediatr
July 2022
Departments of Pediatric Neurology, Dokuz Eylul University Faculty of Medicine, İzmir, Turkey.
Background: Recurrent painful ophthalmologic neuropathy (RPON), formerly known as ophthalmoplegic migraine, is characterized by repeated attacks of one or more ocular cranial nerve palsies with an ipsilateral headache. While steroid therapy has been reported to be beneficial for attacks, no clear consensus on prophylactic treatments exists. We present two cases emphasizing the diagnostic significance of the loss of enhancement during the symptom-free period and valproate as a beneficial option in prophylaxis.
View Article and Find Full Text PDFDiagnostic controversies in recurrent painful ophthalmoplegic neuropathy: single case report with a systematic review.
Ital J Pediatr
June 2022
Department of Clinical and Experimental Medicine, Unit of Rare Diseases of the Nervous System in Childhood, Section of Paediatrics and Child Neuropsychiatry, University of Catania, Catania, Italy.
Background: Ophthalmoplegic migraine, renamed "Recurrent Painful Ophthalmoplegic Neuropathy" (RPON) in 2013 by the International Headache Society is a rare neurologic disorder characterized by recurrent attacks of ophthalmoplegia associated to ipsilateral headache. The etiology is still unknown. Typical magnetic resonance imaging findings show a focal nerve thickening and contrast enhancement.
View Article and Find Full Text PDFRecurrent painful ophthalmoplegic neuropathy: a cause for recurrent third nerve palsy in a child.
BMJ Case Rep
November 2021
Pediatric Neurology and Neurodevelopmental disorders, Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, India
Recurrent painful ophthalmoplegic neuropathy (RPON), previously called ophthalmoplegic migraine, is a rare condition characterised by recurrent episodes of headache and ophthalmoplegia. We report a case of 11-year-old girl with recurrent painful ophthalmoplegia due to isolated right oculomotor nerve involvement. MR brain imaging showed enhancing lesion of cisternal segment of right oculomotor nerve.
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