Cavernous sinus syndrome due to neurosarcoidosis in adolescence: a diagnosis not to be missed
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Cavernous sinus syndrome (CSS) is a pathological condition characterized by usually unilateral painful ophthalmoplegia associated with headache, diplopia, ptosis, pupillary changes, trigeminal nerve dysfunction and retro-orbital pain. Primitive or metastatic malignancies, vascular abnormalities and inflammatory processes are the most common causes of CSS . Differential diagnosis between the various conditions may be tangled; in this respect, laboratory and brain MRI findings are discriminatory . We describe here a rare case of unilateral CSS as the presenting sign of neurosarcoidosis in adolescence.
KeywordsSarcoidosis Cranial Nerve Palsy Painful Ophthalmoplegia Cavernous Sinus Syndrome Chitotriosidase Level
We gratefully thank Dr. Q. Marignetti, from the Radiology Unit of Valdichiana Hospital of Nottola, and I. Giani, from Pediatrics Unit of Valdichiana Hospital of Nottola, for their precious help.
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Conflict of interest
The authors declare that they have no conflict of interest. Anonymity of patient was protected in this case report.