Minohara M, Furuya H, Yamada T, Kobayashi T, Hasuo K
Department of Neurology, Kyushu University, Fukuoka.
Rinsho Shinkeigaku. 1996 Jun;36(6):786-9.
A 51-year-old woman developed diplopia and left blepharoptosis with an insidious onset. On orbital MRI, the extraocular and a left superior levator palpebrae muscles were swollen and enhanced by gadolinium, suggesting orbital myositis. The left blepharoptosis was improved two weeks and the swelling of superior levator palpebrae muscle one month after prednisolone administration. This is the first report that the lesion of superior levator palpebrae muscle was demonstrated by MRI in orbital myositis.
一名51岁女性隐匿起病，出现复视和左眼睑下垂。眼眶MRI显示，眼外肌和左提上睑肌肿胀，钆增强扫描有强化，提示眼眶肌炎。泼尼松龙治疗两周后，左眼睑下垂有所改善，治疗一个月后，提上睑肌肿胀消退。这是首次通过MRI证实眼眶肌炎累及提上睑肌的病例报告。
