Klein B R, Hedges T R, Dayal Y, Adelman L S
Department of Ophthalmology, Tufts University School of Medicine, New England Medical Center, Boston, MA.
Neurology. 1989 Jul;39(7):988-90. doi: 10.1212/wnl.39.7.988.
A 65-year-old woman developed progressive, bilateral ophthalmoplegia, with thickened extraocular muscles on CT. One month later, a cardiac arrhythmia led to her death. Pathologically, the extraocular and skeletal muscles showed diffuse mononuclear cell inflammation, while the heart contained granulomatous myositis. This patient's syndrome of idiopathic, orbital myositis and giant cell myocarditis may be a distinct nosologic entity.
一名65岁女性出现进行性双侧眼肌麻痹，CT显示眼外肌增厚。1个月后，心律失常导致其死亡。病理检查显示，眼外肌和骨骼肌有弥漫性单核细胞炎症，而心脏有肉芽肿性肌炎。该患者的特发性眼眶肌炎和巨细胞心肌炎综合征可能是一种独特的疾病实体。
