在多发性骨髓瘤中,轨道转移的罕见呈现
Charles O'Donovan1, Angela D Wu1, Wei S Lim1
1Department of Ophthalmology, Royal Eye Unit, Kingston Hospital NHS Foundation Trust, London, UK.
概括
多发性骨髓瘤 (MM) 的轨道转移会导致突然的视力丧失. 及时的神经成像对于诊断这种罕见但严重的并发症至关重要.
科学领域:
- 在瘤学瘤学.
- 眼科医生 眼科 眼科
- 神经学 神经学
背景情况:
- 多发性骨髓瘤 (MM) 很少表现出轨道表现,这可能是疾病的最初迹象.
- 眼科MM的症状通常包括proptosis,疼痛,双眼视,和视力损失.
- 在MM中轨道转移与预后不佳和生存率降低有关.
研究的目的:
- 报告一个罕见的视力丧失病例,原因是多发性骨髓瘤中轨道转移.
- 为了突出MM的非典型呈现,而没有proptosis或diplopia.
- 强调神经成像在无法解释的深度视力丧失的情况下的重要性.
主要方法:
- 一个51岁的女性患者的病例报告.
- 临床检查和眼科评估.
- 神经成像 (具体信息在摘要中没有详细说明).
主要成果:
- 患者经历了严重的视力丧失.
- 原因被确定为来自多发性髓瘤的轨道转移.
- 这种表现是不典型的,缺乏proptosis和diplopia.
结论:
- 来自MM的轨道转移可以表现为孤立的视力丧失.
- 在无法解释的严重视力丧失的情况下,应调查轨道和内病理.
- 神经成像对于评估涉嫌MM进展的轨道参与至关重要.
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