Stidham D B, Sondhi N, Plager D, Helveston E
Department of Ophthalmology, Indiana University School of Medicine, Indianapolis, USA.
Ophthalmology. 1998 Dec;105(12):2216-9. doi: 10.1016/S0161-6420(98)91218-0.
To describe isolated involvement of the superior oblique muscle in association with idiopathic orbital myositis.
A case report with review of the literature.
A 57-year-old man with acquired strabismus participated.
Oral steroid therapy was administered.
Clinical and radiographic features before and after treatment were measured.
Computed tomographic scanning showed isolated enlargement of the superior oblique muscle consistent with orbital myositis. Clinical and radiographic abnormalities quickly improved after oral steroid therapy.
Orbital pseudotumor may present as a myositis isolated to the superior oblique muscle. This extremely rare condition has been reported in only three patients, each of whom lacked early diagnosis or treatment. Early recognition may improve chances for a successful clinical outcome.
描述上斜肌孤立受累并伴有特发性眼眶肌炎的情况。
病例报告并复习文献。
一名患有后天性斜视的57岁男性。
给予口服类固醇治疗。
测量治疗前后的临床和影像学特征。
计算机断层扫描显示上斜肌孤立性肿大，符合眼眶肌炎表现。口服类固醇治疗后，临床和影像学异常迅速改善。
眼眶假瘤可能表现为仅累及上斜肌的肌炎。这种极其罕见的情况仅在三名患者中被报道，他们均未得到早期诊断或治疗。早期识别可能会提高临床成功的几率。
