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ldiopathic orbital myositis

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Detalhes bibliográficos
Resumo:Idiopathic orbital myositis is an inflammatory disease of unknown etiology, whose knowledge has been increasing with the new neuroimaging technics. lt should always be an exclusion diag­ nosis. The authors describe a case of a 69 year­ old male patient, with right periorbital pain and diplopia of sudden onset, and one week later loss of homolateral visual acuity. Neurological exa­mination showed, on the right, an almost total loss of vision, ophtalmoplegia, proptosis and hypal­gesia in the territory of the first division of the Vth cranial nerve. The CT scan findings and the response to corticosteroids therapy are highli­ghted because of its major importance in the diagnosis of this disease.
Autores principais:Relvas, Rute
Outros Autores:Cruz, Pedro; Gonçalves, Manuel; Almeida, Rita; Saraiva, Paulo; Viana, Pinto; Beirão, Cabral
Assunto:miosite orbitária idiopática pseudotumor idiopathic orbital myositis pseudo­ tumor
Ano:1996
País:Portugal
Tipo de documento:artigo
Instituição associada:Sociedade Portuguesa de Medicina Interna
Idioma:português
Origem:Revista Portuguesa de Medicina Interna
Descrição
Resumo:Idiopathic orbital myositis is an inflammatory disease of unknown etiology, whose knowledge has been increasing with the new neuroimaging technics. lt should always be an exclusion diag­ nosis. The authors describe a case of a 69 year­ old male patient, with right periorbital pain and diplopia of sudden onset, and one week later loss of homolateral visual acuity. Neurological exa­mination showed, on the right, an almost total loss of vision, ophtalmoplegia, proptosis and hypal­gesia in the territory of the first division of the Vth cranial nerve. The CT scan findings and the response to corticosteroids therapy are highli­ghted because of its major importance in the diagnosis of this disease.