Verhaeghe Florent, Villain Max, Labauge Pierre, Daien Vincent
Department of Ophthalmology (FV, MV, VD), Hôpital Gui De Chauliac, Montpellier, France; Department of Neurology (PL), Hôpital Gui De Chauliac, Montpellier, France; National Institute for Health and Medical Research (INSERM) (VD), Montpellier, France.
J Neuroophthalmol. 2016 Jun;36(2):147-51. doi: 10.1097/WNO.0000000000000349.
Orbital apex syndrome is a rare complication of herpes zoster ophthalmicus. In addition to our case, we review the clinical presentation, imaging findings, treatment options, and prognosis of 14 other reported cases. Magnetic resonance imaging of our patient demonstrated diffuse enhancement of the orbit involving the orbital apex, optic nerve and/or nerve sheath, extraocular muscles, and orbital soft tissues. There was significant clinical improvement with acyclovir and systemic corticosteroids, which seems to be preferred treatment for this disorder.
眶尖综合征是眼部带状疱疹的一种罕见并发症。除了我们的病例外，我们还回顾了其他14例已报道病例的临床表现、影像学表现、治疗选择和预后。我们患者的磁共振成像显示眼眶弥漫性强化，累及眶尖、视神经和/或神经鞘、眼外肌和眼眶软组织。阿昔洛韦和全身性皮质类固醇治疗后临床有显著改善，这似乎是该疾病的首选治疗方法。
