Aguiar T, Morganho A, Passão V, Dias M, Jacinto V, Pedrosa R
Serviço de Neurologia, Hospital de St António dos Capuchos (HSAC), Lisboa.
Acta Med Port. 1997 Aug-Sep;10(8-9):617-20.
Orbital myositis is a subgroup of the nonspecific inflammatory syndrome or orbital pseudotumor and is characterized by a primary inflammation of extraocular muscles. The authors describe a 70-year-old patient with acute proptosis, ocular pain and right ophthalmoplegia, whose orbital computed tomographic scan showed enlargement of the homolateral extraocular muscles. Clinical presentation and complementary tests were compatible with the diagnosis of orbital myositis however, because of the particular aspects, which included retinal central vein occlusion, optic nerve lesion, distension of the superior ophthalmic vein and the homolateral cavernous sinus, the differential diagnosis with cavernous sinus pathology and thyroid ophthalmopathy was considered. The importance of a rapid diagnosis and treatment is stressed.
眼眶肌炎是一种非特异性炎症综合征或眼眶假瘤的亚组，其特征是眼外肌原发性炎症。作者描述了一名70岁患者，有急性眼球突出、眼痛和右眼麻痹，其眼眶计算机断层扫描显示同侧眼外肌增大。临床表现和辅助检查与眼眶肌炎的诊断相符，然而，由于存在包括视网膜中央静脉阻塞、视神经病变、眼上静脉扩张和同侧海绵窦等特殊情况，考虑与海绵窦病变和甲状腺眼病进行鉴别诊断。强调了快速诊断和治疗的重要性。
