Department of Radiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
AJNR Am J Neuroradiol. 2011 Oct;32(9):E167-8. doi: 10.3174/ajnr.A2291. Epub 2010 Nov 18.
An 8-month-old boy with Gorlin syndrome presented with a large right-face turn and constant exotropia of the left eye. Eight-millimeter recession of the left lateral rectus muscle was performed at 23 months of age without complete postoperative improvement. Orbital imaging revealed bilateral anomalous extraocular muscles inferolateral to the optic nerves. Surgical resection of the tissue confirmed the accessory musculature with postoperative correction of the strabismus. To our knowledge, this appears to be the first reported case in the radiologic literature.
一位 8 个月大的男孩患有 Gorlin 综合征,表现为右眼向大角度侧方转动和左眼恒定性外斜视。23 个月大时进行了左眼外直肌 8 毫米后退术,但术后改善不明显。眼眶影像学显示双侧视神经下方外侧的眼外肌异常。组织的手术切除证实了副肌的存在,并在术后纠正了斜视。据我们所知,这似乎是放射学文献中首例报道的病例。