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伴有特发性眼眶肌炎的颈部局灶性肌炎。

Focal myositis of the neck with idiopathic orbital myositis.

作者信息

Dhanasekar G, Rajan M S, Nirmal Kumar B, Watson S D

机构信息

Department of Otolaryngology, Royal Albert Edward Infirmary, Wigan, UK.

出版信息

J Laryngol Otol. 2002 Apr;116(4):314-6. doi: 10.1258/0022215021910663.

DOI:10.1258/0022215021910663
PMID:11945201
Abstract

Focal myositis (of Heffner) in the right trapezius and paraspinal muscles accompanied by a pseudotumour of the left orbit has not been reported previously. The clinical, pathological and radiological features of these unusual benign pseudotumours of the head and neck are discussed. Computerized tomography (CT) scan of the neck and orbital ultrasound were suggestive of an inflammatory process without an abscess formation. This was followed by fine needle aspiration cytology (FNAC), which confirmed the diagnosis. The patient was treated with intravenous steroids and antibiotics, that led to complete resolution of symptoms, and there was no recurrence at six months follow-up. This report highlights the importance of imaging in inflammatory neck swellings.

摘要

右侧斜方肌和椎旁肌的局灶性(赫夫纳)肌炎伴左侧眼眶假瘤此前未见报道。本文讨论了这些头颈部不寻常的良性假瘤的临床、病理和放射学特征。颈部计算机断层扫描(CT)和眼眶超声提示为炎症过程,无脓肿形成。随后进行了细针穿刺细胞学检查(FNAC),确诊了病情。患者接受了静脉注射类固醇和抗生素治疗,症状完全缓解,随访6个月无复发。本报告强调了影像学在炎性颈部肿胀中的重要性。

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引用本文的文献

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Inflammatory focal myositis of the sternomastoid muscle: is there an absolute indication for biopsy? A case report and review of the literature.胸锁乳突肌炎性局灶性肌炎:活检是否存在绝对指征?一例病例报告及文献综述
Eur Arch Otorhinolaryngol. 2006 Feb;263(2):149-51. doi: 10.1007/s00405-004-0895-9. Epub 2005 Dec 13.