case_images: PMC10824575_01
case_images: (a, b) Computed tomography scan of lung demonstrating lung nodule; (c) magnetic resonance imaging demonstrating soft tissue enhancement in the left cavernous sinus and superior orbital fissure, with no pressure effect on the carotid artery, in favor of Tolosa-Hunt syndrome.
case_images: CRIRH2024-5552402.001.jpg
case_images: PMC10824575_01_CRIRH2024-5552402.001.jpg
case_images: fig1
case_images: Her spiral chest computed tomography (CT) was unremarkable and only demonstrated fibro glandular tissue in her right breast and also two small pulmonary nodules (3 and 4 mm) in her left upper lung (Figure 1).
case_images: Ptosis of left eye on admission (a), five days after treatment (b), and 21 days after treatment (c).
case_images: CRIRH2024-5552402.002.jpg
case_images: PMC10824575_01_CRIRH2024-5552402.002.jpg
case_images: fig2
case_images: Based on rheumatological evaluation and her positive lung nodule, hematuria and dysmorphic red blood cells (RBCs), and positive CANCA-PR3 and also based on granulomatosis with polyangiitis (GPA) criteria, her treatment was continued with prednisolone 1 mg/kg and also rituximab at the first and 14th day of treatment.  Figure 2 demonstrates the patients' ptosis on admission and during treatment.