Jain V, Ellingson A N, Smoker W R K
Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA.
AJNR Am J Neuroradiol. 2007 Nov-Dec;28(10):1876-7. doi: 10.3174/ajnr.A0730. Epub 2007 Sep 26.
We report a case of rhabdomyolysis due to acetaminophen overdose involving the lateral pterygoid muscles bilaterally, in addition to the other muscles of the abdomen and pelvis. To the best of our knowledge, involvement of the head and neck muscles by rhabdomyolysis has not been reported previously. The isolated involvement of the lateral pterygoid muscles may be due to the presence of the surrounding pterygoid venous plexus. It is important to be aware of the imaging characteristics of rhabdomyolysis and to consider the possibility of involvement of head and neck muscles to aid in early diagnosis and avoid misinterpretation of the imaging findings.
我们报告一例因对乙酰氨基酚过量导致横纹肌溶解的病例,除腹部和骨盆的其他肌肉外,双侧翼外肌也受累。据我们所知,此前尚未有横纹肌溶解累及头颈部肌肉的报道。翼外肌的孤立受累可能是由于周围翼静脉丛的存在。认识到横纹肌溶解的影像学特征并考虑头颈部肌肉受累的可能性,对于早期诊断及避免对影像学表现的误判很重要。