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[动眼神经障碍与眼外肌增大]

[Oculomotor disorders and enlargement of the extraocular muscles].

作者信息

George J L, Raspiller A, Lesure P, Sirbat D, Rozot P, Berrod J P

出版信息

Ophtalmologie. 1989 Apr-May;3(2):167-8.

PMID:2641101
Abstract

Aetiologic conditions for enlargement of extra ocular muscles are graves' orbitopathy, acute or subacute myositis as a subgroup of inflammatory orbital pseudotumor, and sometimes lymphoid or metastatic tumor. The distinction of these aetiologies can be made on clinical versus CT Scan or IRM grounds with two different patterns of oculomotor disfunction. Restrictive extensibility, which found expression in the antagonist field, is typical of grave's myopathy, sequelae of subacute myositis or acute myositis of the superior oblique. Deficiency of the enlarged muscle's contractibility is typical of a recent and transient myositis involving a rectus muscle or of a rare tumor of an extraocular muscle.

摘要

眼外肌增大的病因包括格雷夫斯眼眶病、作为炎性眶假瘤一个亚组的急性或亚急性肌炎,以及有时出现的淋巴瘤或转移瘤。这些病因的区分可基于临床症状以及CT扫描或磁共振成像结果,同时伴有两种不同模式的眼球运动功能障碍。在拮抗肌区域表现出的限制性伸展性是格雷夫斯肌病、亚急性肌炎后遗症或上斜肌急性肌炎的典型特征。增大肌肉收缩性不足是累及直肌的近期短暂性肌炎或罕见的眼外肌肿瘤的典型表现。

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