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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
Differential Diagnosis
TolosaHunt 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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