Recurrent Vision Fluctuations and Orbital Signs Unmasking T-Cell Lymphoma: A Case Report.

ABSTRACT:

Introduction

Orbital T-cell lymphoma is a rare and diagnostically challenging malignancy that can closely mimic inflammatory conditions such as Tolosa-Hunt syndrome (THS), particularly due to overlapping clinical and radiological features.

Case presentation

We report the case of a 21-year-old male who initially fulfilled the ICHD-3 criteria for THS, demonstrating unilateral painful ophthalmoplegia and transient steroid responsiveness. However, recurrence of symptoms and subsequent histopathological evaluation confirmed the presence of extranodal orbital T-cell lymphoma. This case underscores the critical importance of maintaining a high index of suspicion for malignancy in steroid-responsive orbital syndromes, especially when atypical features or relapses occur. Early biopsy

SUBMITTER: Abbas J 

PROVIDER: S-EPMC12695113 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature