Document Detail


Recurrent steroid-responsive trismus and painful ophthalmoplegia.
MedLine Citation:
PMID:  10540039     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 63-year-old woman experienced two episodes of trismus and painful ophthalmoplegia at an interval of six years. She suffered left visual loss, and enhanced CT scan and MR imaging revealed heterogeneous enlargement of the left extraocular muscles extending to the orbital apex. In addition, the left pterygopalatine fossa was filled with a mass isointense with muscle without evidence of surrounding tissue invasion; 67Ga scintigraphy showed high uptake in this lesion. Steroid administration dramatically resolved the trismus, and the mass in the orbit and extraorbit vanished completely. Orbital pseudotumor is characterized by self-limited, relapsing, steroid-responsive painful ophthalmoplegia, and this case could be a variant of this entity with inflammation extending into the extraorbital area.
Authors:
S Ishikawa; H Yahikozawa; M Yamazaki; M Kikkawa; S Ikeda; N Hanyu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the neurological sciences     Volume:  170     ISSN:  0022-510X     ISO Abbreviation:  J. Neurol. Sci.     Publication Date:  1999 Nov 
Date Detail:
Created Date:  1999-12-07     Completed Date:  1999-12-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375403     Medline TA:  J Neurol Sci     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  69-71     Citation Subset:  IM    
Affiliation:
Department of Medicine (Neurology), Shinshu University School of Medicine, 3-1-1, Asahi, Matsumoto, Japan.
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MeSH Terms
Descriptor/Qualifier:
Anti-Inflammatory Agents / therapeutic use*
Female
Humans
Inflammation / complications,  diagnosis
Magnetic Resonance Imaging
Middle Aged
Ophthalmoplegia / diagnosis,  drug therapy*,  etiology,  physiopathology*
Orbital Diseases / complications,  diagnosis
Pain / physiopathology
Prednisolone / therapeutic use*
Recurrence
Tomography, X-Ray Computed
Trismus / drug therapy*,  etiology
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents; 50-24-8/Prednisolone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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