Barontini F, Maurri S, Sità D
J Clin Neuroophthalmol. 1986 Jun;6(2):109-12. doi: 10.3109/01658108608997335.
A 49-year-old woman presented with a left eye abduction-elevation defect and a bilateral internal rectus palsy of peripheral origin. Thyroid function, cranial computed tomographic scan, and cerebrospinal fluid examination were normal, as were the prostigmine test for myasthenia gravis and the guanidine hydrochloride test for myasthenic syndrome. Skull radiography showed osteosclerotic and osteolytic areas, with slight orbital distortion, and there was hyperactivity in an isotopic scan. A skill biopsy showed fibrous dysplasia. This case is an unusual example of fibrous dysplasia of the skull with neuro-ophthalmological symptoms but without ptosis, exophthalmos, or visual loss.
一名49岁女性出现左眼外展-上举缺陷及双侧外周性内直肌麻痹。甲状腺功能、头颅计算机断层扫描及脑脊液检查均正常，重症肌无力的新斯的明试验及肌无力综合征的盐酸胍试验结果也正常。颅骨X线摄影显示有骨质硬化和骨质溶解区域，伴轻度眼眶变形，同位素扫描显示有活性增强。颅骨活检显示为骨纤维异常增殖症。该病例是颅骨骨纤维异常增殖症的一个不寻常例子，伴有神经眼科症状，但无眼睑下垂、眼球突出或视力丧失。
