Roh Y B, Kim J H, Song J Y, Oum B S
Department of Ophthalmology, College of Medicine, Pusan National University, Korea.
Korean J Ophthalmol. 1990 Dec;4(2):112-5. doi: 10.3341/kjo.1990.4.2.112.
A case of painful ophthalmoplegia with unilateral ocular pain, fixed eyeball to all directions of gaze, and loss of vision is presented. After intensive steroid therapy, conjunctival chemosis subsided markedly, but no improvement was seen in other clinical signs. We took a CT scan of orbit brain and performed nasopharyngeal biopsy and open biopsy through craniectomy. Based on the results of clinical features and findings of the CT scan and tissues, we diagnosed painful ophthalmoplegia secondary to nasopharyngeal carcinoma metastasized to orbital apex and brain.
本文报告一例伴有单侧眼痛、眼球向各方向注视固定及视力丧失的疼痛性眼肌麻痹病例。强化类固醇治疗后，结膜水肿明显消退，但其他临床体征未见改善。我们对眼眶及脑部进行了CT扫描，并进行了鼻咽活检及经颅骨切除术的开放活检。根据临床特征、CT扫描结果及组织检查结果，我们诊断为鼻咽癌转移至眶尖及脑部继发的疼痛性眼肌麻痹。
