Painful and painless ophthalmoplegia with cavernous sinus pseudotumour

Acquired isolated ophthalmoplegia in childhood has many potential causes. Although other ophthalmological or clinical features may aid lesion localisation, the absence of these does not preclude structural pathology. Two cases of cavernous sinus pseudotumour presented as ophthalmoplegia with and wit...

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Bibliographic Details
Published in:Archives of disease in childhood 1996-09, Vol.75 (3), p.239-241
Main Authors: Ganesan, V, Lin, J P, Chong, W K, Kirkham, F J, Surtees, R A
Format: Article
Language:English
Subjects:
Adolescent
Anti-Inflammatory Agents - therapeutic use
Biological and medical sciences
Child
Humans
Magnetic Resonance Imaging
Male
Medical sciences
Oculomotor disorders
Ophthalmology
Ophthalmoplegia - drug therapy
Ophthalmoplegia - etiology
Pain - complications
Prednisolone - therapeutic use
Pseudotumor Cerebri - complications
Pseudotumor Cerebri - diagnosis
Pseudotumor Cerebri - drug therapy
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Description
Summary:Acquired isolated ophthalmoplegia in childhood has many potential causes. Although other ophthalmological or clinical features may aid lesion localisation, the absence of these does not preclude structural pathology. Two cases of cavernous sinus pseudotumour presented as ophthalmoplegia with and without pain. Magnetic resonance imaging of the cavernous sinus revealed the presence of enhancing tissue consistent in appearance with pseudotumour in both cases, and they responded well to steroid treatment. These cases emphasise the importance of detailed imaging of the cavernous sinus in the investigation of these symptoms in order to exclude this treatable condition.
ISSN:0003-9888
1468-2044
DOI:10.1136/adc.75.3.239