A Case of Painful Diplopia after COVID-19 Vaccination: Could It Be Tolosa-Hunt Syndrome?

Korean J Fam Med. 2023 Jul;44(4):240-243. doi: 10.4082/kjfm.22.0201. Epub 2023 Jul 18.

Abstract

Herein, we report a rare case of Tolosa-Hunt syndrome (THS) following coronavirus disease 2019 (COVID-19) vaccine administration. A 64-year-old patient presented with recurrent horizontal diplopia and ipsilateral orbital pain, 2 weeks after being administered the COVID-19 vaccination. A diagnosis of THS was based on the relevant criteria after ruling out the differential diagnoses. The clinical presentation improved with corticosteroid administration. THS must be recognized as a complication of COVID-19 vaccination. This association can be explained by an autoimmune response.

Keywords: Case Report; Corticosteroids; Diplopia; Magnetic Resonance Imaging; Painful Ophthalmoplegia; Tolosa-Hunt Syndrome.

Publication types

  • Case Reports