眼阵挛作为肺腺癌的首发症状。
Ocular flutter as the presenting sign of lung adenocarcinoma.
作者信息
Kruger Joshua M, Yonekawa Yoshihiro, Skidd Philip, Cestari Dean M
机构信息
Neuro-Ophthalmology Service, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts.
出版信息
Digit J Ophthalmol. 2014 Jan 17;20(1):4-6. doi: 10.5693/djo.02.2013.10.002. eCollection 2014.
Ocular flutter is a rare ophthalmic finding that could represent paraneoplastic phenomena. In adults it is most commonly associated with small cell lung cancer (SCLC). Most patients also present with other neurological defects. We report the case of a 75-year-old woman who presented with isolated ocular flutter. The ensuing workup was significant for an early lung adenocarcinoma that would not have been biopsied otherwise due to its small size. To our knowledge, this is the first reported case of isolated ocular flutter as the presenting symptom of non-SCLC.
眼球扑动是一种罕见的眼科表现，可能代表副肿瘤现象。在成年人中，它最常与小细胞肺癌（SCLC）相关。大多数患者还伴有其他神经功能缺损。我们报告一例75岁女性，其仅表现为孤立性眼球扑动。随后的检查发现了早期肺腺癌，若不是因其体积小，否则不会进行活检。据我们所知，这是首例报道以孤立性眼球扑动为非小细胞肺癌首发症状的病例。
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