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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 346:513-520 February 14, 2002 Number 7
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Case 5-2002— A 15-Year-Old Boy with a Retro-orbital Mass and Impaired Vision
Craig A. Hurwitz, M.D., and William C. Faquin, M.D., Ph.D.

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Presentation of Case

A 15-year-old boy was admitted to the hospital because of a retro-orbital mass.

The patient had been well until three weeks earlier, when he began to have right retro-orbital and frontal pain graded 2 to 3 on a scale of 1 to 10, with 10 indicating the worst possible pain. The episodes occurred two or three times weekly, lasted one or two hours, and were relieved by ibuprofen. The pain had no positional features, and there was no accompanying photophobia, nausea, vomiting, sensitivity to noise, weakness, numbness, or tingling; the pain tended not to occur in the morning. Eight days . . . [Full Text of this Article]

Differential Diagnosis

Tolosa–Hunt Syndrome

Orbital Pseudotumor

Granulomatous Diseases

Infectious and Malignant Diseases

Neoplasms

Lymphoma

Response to Corticosteroids as a Clue

Clinical Diagnosis

Dr. Craig A. Hurwitz's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References




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