Department of Ophthalmology, ASFO, Pordenone, PN, Italy.
Department of Anatomy and Histopathology, ASFO, Pordenone, Pordenone, Italy.
Surv Ophthalmol. 2024 May-Jun;69(3):495-498. doi: 10.1016/j.survophthal.2023.11.007. Epub 2023 Nov 23.
A 63-year-old man with diabetes presented with unilateral ptosis and an exotropia. A diagnosis of isolated diabetic III nerve palsy was made. Subsequent neuro-ophthalmologic evaluation showed multiple cranial nerves involvement consistent with a diagnosis of orbital apex syndrome. Review of past medical history was significant for a previous nasopharyngeal carcinoma, and biopsy of the involved site was consistent with tumor recurrence. This case highlights the importance of correct medical history taking and anatomo-clinical correlation in neuro-ophthalmology.
一位 63 岁的糖尿病男性患者出现单侧上睑下垂和外斜视。诊断为孤立性糖尿病 III 神经麻痹。随后的神经眼科评估显示，多根颅神经受累，符合眶尖综合征的诊断。回顾既往病史，患者曾患有鼻咽癌，受累部位活检与肿瘤复发一致。本例强调了在神经眼科中正确的病史采集和解剖-临床相关性的重要性。
