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帕里-龙贝格综合征对侧动眼神经麻痹的磁共振成像表现

MRI findings of contralateral oculomotor nerve palsy in Parry-Romberg syndrome.

作者信息

Tam Emily K, Lonngi Marcela, Demer Joseph L

机构信息

David Geffen School of Medicine, University of California, Los Angeles, United States.

Stein Eye Institute, University of California, Los Angeles, United States.

出版信息

Am J Ophthalmol Case Rep. 2018 Feb 2;10:81-83. doi: 10.1016/j.ajoc.2018.01.048. eCollection 2018 Jun.

DOI:10.1016/j.ajoc.2018.01.048
PMID:29780922
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5956749/
Abstract

PURPOSE

To study a case of right Parry Romberg syndrome associated with contralateral oculomotor nerve palsy using high-resolution cerebral and orbital magnetic resonance imaging (MRI).

OBSERVATIONS

There were no brain MRI abnormalities. However, there was marked enophthalmos on the right with reduction of orbital fat. Extraocular muscles contracted normally in the right eye, but in the left eye, there was reduced contractility of the medial, inferior, and superior rectus muscles. The intraorbital motor nerves were unremarkable bilaterally, and the right optic nerve was tortuous.

CONCLUSIONS AND IMPORTANCE

Parry Romberg syndrome is a disease of unknown etiology with various ophthalmologic manifestations. This case study contributes extensive MRI data to the limited literature on ophthalmological anatomic findings in a patient who had Parry Romberg syndrome with contralateral paralytic strabismus.

摘要

目的

使用高分辨率脑部和眼眶磁共振成像(MRI)研究一例伴有对侧动眼神经麻痹的右侧帕里-罗默伯格综合征病例。

观察结果

脑部MRI未发现异常。然而,右侧存在明显眼球内陷,眼眶脂肪减少。右眼眼外肌收缩正常,但左眼内直肌、下直肌和上直肌收缩力减弱。双侧眶内运动神经无明显异常,右侧视神经迂曲。

结论及意义

帕里-罗默伯格综合征是一种病因不明的疾病,有多种眼科表现。本病例研究为关于患有帕里-罗默伯格综合征并伴有对侧麻痹性斜视患者的眼科解剖学发现的有限文献提供了大量MRI数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/120c/5956749/04f3157a5789/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/120c/5956749/a83186141a41/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/120c/5956749/fedf6529f4b4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/120c/5956749/04f3157a5789/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/120c/5956749/a83186141a41/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/120c/5956749/fedf6529f4b4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/120c/5956749/04f3157a5789/gr3.jpg

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Ophthalmological manifestations of Parry-Romberg syndrome.帕里-龙贝格综合征的眼科表现。
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Progressive Hemifacial Atrophy With Contralateral Uveitis: A Case Report.进行性半侧面部萎缩伴对侧葡萄膜炎:一例报告
Iran Red Crescent Med J. 2015 Sep 1;17(9):e16168. doi: 10.5812/ircmj.16168. eCollection 2015 Sep.
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