Berkhoff M, Sturzenegger M, Schroth G, Hess C W
Neurologische Klinik, Inselspital, Universität Bern.
Nervenarzt. 1997 Oct;68(10):792-800. doi: 10.1007/s001150050196.
We report a young woman presenting with "painful diplopia" caused by inflammation of external eye muscles affecting both eyes sequentially. Orbital MRI disclosed swelling, signal hyperintensity and enhancement of isolated eye muscles. Corticosteroid treatment led to a complete remission within a few days. The compiled data of a literature review enclosing 52 sufficiently documented patients diagnosed as orbital myositis is reported with respect to clinical features, laboratory findings, associated disease, value of imaging procedures (CT,MRI). Therapeutic aspects and differential diagnosis are reviewed.
我们报告了一名年轻女性,其双眼先后出现眼外肌炎症导致的“疼痛性复视”。眼眶磁共振成像(MRI)显示孤立性眼肌肿胀、信号增强。皮质类固醇治疗在数天内使症状完全缓解。本文报告了对52例诊断为眼眶肌炎且记录充分的患者进行文献综述所得的数据,内容涉及临床特征、实验室检查结果、相关疾病、影像学检查(CT、MRI)的价值。同时对治疗方面及鉴别诊断进行了综述。