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TitreAn atypical case of acute unilateral complete external ophthalmoplegia.
ButTo describe a patient who presented with atypical acute unilateral complete external ophthalmoplegia.
MéthodesA case report and a complete review of the literature.
RésultatsA 70-year-old women presented with acute unliteral complete external ophthalmoparesis, followed in the next few days by unilateral complete external ophthalmoplegia. The patient had already presented with two crises similar before with full recovery after few days of corticotherapy. After a normal complete systemic workup including biology, MRI, angio-CT and lumbar puncture, a diagnosis of Tolosa-Hunt syndrome was retained. The patient had a full recovery but this time she did not respond as quickly to the corticotherapy.
ConclusionThis atypical case of acute unilateral complete external ophthalmoplegia required a complete review of the literature. We think that, as some authors have already mentioned, the criteria of Tolosa-Hunt syndrome should be reviewed. In addition, the delayed response to corticosteroids during this episode also raises the question of a cortico-resistance.
Conflit d'intérêtNon
Auteur 1
NomDELVAULX
InitialesPh.
InstitutERASME
VilleBRUXELLES
Auteur 2
NomYOUSSFI
InitialesA.
InstitutERASME
VilleBRUXELLES
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