复发性下侧斜肌炎及其后果
Carmelo Caltabiano1, Jessica Y Tong2, Sonia Huang3,2
1The University of Adelaide Discipline of Ophthalmology and Visual Sciences, Adelaide, South Australia, Australia a1774434@student.adelaide.edu.au.
BMJ case reports
|March 12, 2024
概括
这份病例报告详细介绍了一名中年妇女的复发性异常性下斜肌炎 (IOM). 用轨道内三氨乙胺治疗提供了快速症状的解决.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 病理学 病理学 病理学
背景情况:
- 异形性下斜肌炎 (IOM) 是一种罕见的轨道炎症疾病.
- IOM的复发,特别是经过长时间的静止期后,并不常见.
研究的目的:
- 为了呈现一种独特的病例,即复发性异常异常性下斜肌炎.
- 详细说明临床放射学特征和组织学发现.
- 评估轨道内三氨醇乙胺在治疗复发性IOM中的疗效.
主要方法:
- 一个40多岁的女性的病例报告,她患有复发性IOM.
- 磁共振成像 (MRI) 用于评估轨道结构.
- 下斜肌和眼腺的活检,用于组织学分析.
- 用轨道内三氨醇乙胺注射的治疗方法.
主要成果:
- 患者经历了12年的静止后,第三次IOM.
- 核磁共振扫描显示下斜肌和双侧眼腺扩大.
- 组织学检查显示显著的炎症透.
- 轨道内三氨乙胺导致在一周内完全缓解症状.
结论:
- 复发性IOM可以呈现出明显的临床放射学特征.
- 静脉内皮质类固醇注射为复发性IOM提供了有针对性和有效的治疗选择.
- 这种方法可以替代全身性皮质类固醇,可能减少副作用.
关键词:
眼科医生 眼科 眼科相关概念视频
Accessory Structures of the Eye
1.5K
Optical perception, or vision, is an extraordinary sense dependent on converting light signals received via the ocular organs. These organs, known as eyes, are securely positioned within the bony cavities of the skull, called orbits. The orbits serve a dual purpose: a protective shield for the ocular globes and a stable attachment point for the soft ocular tissues. The eye's external protective mechanisms include the eyelids, which are edged with lashes that act as a barrier against foreign...
1.5K
Myasthenia Gravis: Overview and Treatment
1.4K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
1.4K
Disorders of the Skeletal Muscle
946
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
946
Myasthenia Gravis: Diagnostic Tests
831
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
831

