Tam Emily K, Lonngi Marcela, Demer Joseph L
David Geffen School of Medicine, University of California, Los Angeles, United States.
Stein Eye Institute, University of California, Los Angeles, United States.
Am J Ophthalmol Case Rep. 2018 Feb 2;10:81-83. doi: 10.1016/j.ajoc.2018.01.048. eCollection 2018 Jun.
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).
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.
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.
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。
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。
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。