Pediatric trochleitis associated with paranasal sinusitis: a case report

Hong, Hyunkyu; Lyu, In Jeong

doi:10.1186/s12886-019-1030-4

Cited by 11 publications

(7 citation statements)

References 11 publications

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“…Consisting of 181 patients with a mean age of 43.7 (SD 18.3) years, the vast majority, 83.4%, were female. There has only been one reported pediatric case (55). Acquired Brown syndrome was also diagnosed in 10.5% of cases.…”

Section: Managementmentioning

confidence: 99%

Diagnosis and Management of Trochleodynia, Trochleitis, and Trochlear Headache

2019

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Migraine and tension-type headaches (TTHs) comprise a significant burden of neurological disease globally. Trochleodynia, also known as primary trochlear headache or trochleitis, may go unrecognized and contribute to worsening of these headache disorders. It may also present in isolation. We review the English literature on this under-recognized condition and describe what is known about the theorized pathophysiology, clinical presentation, and differential diagnosis. We also present a management algorithm for patients presenting with trochleodynia.

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Section: Managementmentioning

confidence: 99%

Diagnosis and Management of Trochleodynia, Trochleitis, and Trochlear Headache

2019

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“…As far as we have known, trochleitis in association with paranasal sinus inflammation has only been reported once in a pediatric patient (aged eight years) [ 12 ]. One case of a post-surgical inflammatory Brown syndrome associated with trochleitis following a frontal sinus surgery may also be relevant [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, this is the second case of trochleitis associated with paranasal sinusitis in a pediatric patient (aged 14 years). One suggested explanation for this association is the anatomical proximity between the paranasal sinuses and the orbit along with its contents, including the trochlea of the superior oblique tendon [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Pediatric Recurrent Unilateral Trochleitis in Association With Paranasal Sinusitis: A Case Report

Alnosair¹,

Alqasim²

2022

Cureus

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Trochleitis is an easily treatable condition; however, it is often misdiagnosed by many clinicians because of its rare incidence. We report the case of a 14-year-old Saudi male patient, known to have type 1 diabetes mellitus (DM) and pansinusitis, who presented to the emergency department with a one-day history of severe right periorbital pain exacerbated by upgaze and supraduction. There was intense point tenderness on palpation over the trochlear region of the orbit with no underlying swelling or redness. Both eyes had a corrected visual acuity of 0.8. Mildly limited elevation (-1) of the right eye was noted. All other extraocular movements were normal in both eyes. Contrast-enhanced CT of the head and orbits showed mild trochlear swelling, inflammation, and pansinusitis. He was treated with a single intratrochlear injection of steroids, which immediately and significantly improved the symptoms. To the best of our knowledge, this is the second case of trochleitis associated with paranasal sinusitis in children. This suggests that a possible, but rare, association between these two conditions may exist in the pediatric population.

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“…Idiopathic trochleitis is a highly uncommon disease that mostly involves pain in the inner angle of the orbit, accompanied by signs of inflammation in the superior oblique tendon, and trochlear apparatus [ 1 ]. Typically, it presents with severe intermittent orbital pain triggered by vertical eye movements or reading [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…Other manifestations may include trochlear tenderness, diplopia, blurred vision, ipsilateral frontal headache [ 2 - 4 ], and, on rare occasions, restricted eye movement. Diagnosis generally relies on the clinical picture and radiologic evidence of inflammation [ 1 , 2 ]. Herein, we present an exceedingly rare case of an 18-year-old male who experienced persistent left eye pain, initially misdiagnosed as a migraine for over two months.…”

Section: Introductionmentioning

confidence: 99%

Chronic Unilateral Idiopathic Trochleitis Misdiagnosed With Migraine in an 18-Year-Old Male: A Case Report

Abdalla,

Alhalabi

2023

Cureus

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Trochleitis is a very rare form of inflammation that occurs in the trochlear region. It is characterized by periorbital pain, diplopia, blurred vision, frontal headache, trochlear tenderness, and radiologic signs of inflammation. We report a case of an 18-year-old man who experienced unilateral eye pain, double vision, and tenderness when looking upward. Initially, his pain was misdiagnosed as migraine for more than two months. The patient did not show improvement with NSAID treatment, leading to successful treatment with a steroidal injection. Although rare, healthcare providers should maintain a high index of suspicion to avoid misdiagnosis of this type of eye pain.

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Pediatric trochleitis associated with paranasal sinusitis: a case report

Cited by 11 publications

References 11 publications

Diagnosis and Management of Trochleodynia, Trochleitis, and Trochlear Headache

Diagnosis and Management of Trochleodynia, Trochleitis, and Trochlear Headache

Pediatric Recurrent Unilateral Trochleitis in Association With Paranasal Sinusitis: A Case Report

Chronic Unilateral Idiopathic Trochleitis Misdiagnosed With Migraine in an 18-Year-Old Male: A Case Report

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