慢性炎症性脱髓鞘性多发性神经根神经病中由脑神经肥大引起的眼肌麻痹、眼球突出和眼睑退缩。
Ophthalmoplegia, proptosis, and lid retraction caused by cranial nerve hypertrophy in chronic inflammatory demyelinating polyradiculoneuropathy.
作者信息
Alwan Ahmad A, Mejico Luis J
机构信息
Department of Neurology, SUNY Upstate Medical University, Syracuse, New York, USA.
出版信息
J Neuroophthalmol. 2007 Jun;27(2):99-103. doi: 10.1097/WNO.0b013e318064c59b.
A 53-year-old woman with long-standing chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) developed progressive proptosis, lid retraction, and ophthalmoplegia. MRI showed enlarged, enhancing cranial nerves that initially gave rise to diagnostic confusion with Graves disease or orbitocavernous mass lesions. This report further documents that CIDP may cause hypertrophy of ocular motor and trigeminal nerves with imaging features that suggest alternative causes.
一名患有长期慢性炎症性脱髓鞘性多发性神经根神经病（CIDP）的53岁女性出现了进行性眼球突出、眼睑退缩和眼肌麻痹。磁共振成像（MRI）显示颅神经增粗且有强化，这最初导致了与格雷夫斯病或眶海绵状肿块病变相混淆的诊断。本报告进一步证明，CIDP可能导致动眼神经和三叉神经肥大，其影像学特征提示了其他病因。
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