Conflict of Interest: Dr. Dalia Rotstein has received research support from the Multiple Sclerosis Society of Canada and has performed consulting for Sanofi-Aventis. She reports no conflict of interest. Dr. Felix Tyndel and Dr. David Tang-Wai report no conflicts of interest.
A Case Report of Cavernous Sinus Syndrome in a Patient With Takayasu's Arteritis
Article first published online: 14 MAY 2014
© 2014 American Headache Society
Headache: The Journal of Head and Face Pain
Volume 54, Issue 8, pages 1371–1375, September 2014
How to Cite
Rotstein, D. L., Tyndel, F. J. and Tang-Wai, D. F. (2014), A Case Report of Cavernous Sinus Syndrome in a Patient With Takayasu's Arteritis. Headache: The Journal of Head and Face Pain, 54: 1371–1375. doi: 10.1111/head.12390
- Issue published online: 8 SEP 2014
- Article first published online: 14 MAY 2014
- Manuscript Accepted: 2 APR 2014
- Multiple Sclerosis Society of Canada
- cavernous sinus syndrome;
- Takayau's arteritis;
- Tolosa-Hunt syndrome;
Neurologists must entertain a broad differential diagnosis when considering a patient with cavernous sinus syndrome, including neoplasm, trauma, vascular causes, inflammatory processes, and infections. We report the case of a 37-year-old woman initially diagnosed with cavernous sinus syndrome, where subsequent investigations revealed findings of Takayasu's arteritis, a large vessel vasculitis. The patient also tested positive for perinuclear antineutrophil cytoplasmic antibodies, suggesting the possibility of a vasculitic spectrum disorder although no clinical features of Wegener's granulomatosis were present. Criteria for Takayasu's arteritis and its protean neurologic manifestations are reviewed. This case highlights the spectrum of vasculitic conditions that may be associated with cavernous sinus inflammation.