Abstract
A fifteen years old girl was admitted to our clinic with the complaint of diplopia in up-gaze. In ocular motor examination, restriction in up-gaze was noticed. With the suspect of thyroid ophtalmopathy or orbital myositis magnetic resonance imaging (MRI) was conducted and thickening of inferior rectus with the involvement of its tendon was demonstrated. Thyroid hormone profile was normal. The diagnosis of idiopathic orbital myositis was made on MRI findings and 60 mg/day oral fluocortolone was initiated. The fluocortolone was tapered and stopped in two weeks after the disappearance of up-gaze restriction and cessation of the diplopia in one month. Key words: Idiopathic orbital myositis, Thyroid ophthalmopathy, Magnetic resonance imaging
References
- Gleason JE. Idiopathic myositis involving the extraocular muscles.Ophthalmic Rec 1903;12:471-8.
- Scott IU, Siatkowski RM. Idiopathic orbital myositis. Curr Opin Rheumatol. 1997;9:504- 12.
- Rothfus WE, Curtin HD. Extraocular muscle enlargement: a CT review. Radiology. 1984;151:677-81.
- Hertz S, Means JH, Williams RH. Graves’ disease with dissociation of thyrotoxicosis and ophthalmopathy. West J Surg. 1941;49:493-8.
- Trokel SL, Hilal SK. Submillimeter resolution CT scanning of orbital diseases. Ophthalmology. 1980;87:412-7.
Abstract
Onbeş yaşında kız hasta, beş gün önce başlayan yukarı bakışta çift görme şikayeti ile kliniğimize başvurdu. Hastanın göz hareket muayenesinde yukarı bakışta hareket kısıtlılığı tespit edildi. Orbital miyozit, tiroid oftalmopati ön tanıları ile orbital manyetik rezonans görüntüleme (MRG) tetkiki istendi ve sol alt rektus kasın tendonu ile birlikte düzensiz tutulduğu görüldü. Tiroid hormon testlerinin normal sınırlarda olması ve MRG bulguları ile, hastaya idiopatik orbital miyozit tanısı konarak 60 mg/gün oral fluokortolon tedavisi başlandı. Birinci ayın sonunda yukarı bakış kısıtlılığının ve çift görme şikayetinin kalmaması nedeni ile iki hafta içinde ilaç dozu azaltılarak kesildi. Anahtar kelimeler: İdiopatik orbital miyozit, Tiroid oftalmopati, Manyetik rezonans görüntüleme
References
- Gleason JE. Idiopathic myositis involving the extraocular muscles.Ophthalmic Rec 1903;12:471-8.
- Scott IU, Siatkowski RM. Idiopathic orbital myositis. Curr Opin Rheumatol. 1997;9:504- 12.
- Rothfus WE, Curtin HD. Extraocular muscle enlargement: a CT review. Radiology. 1984;151:677-81.
- Hertz S, Means JH, Williams RH. Graves’ disease with dissociation of thyrotoxicosis and ophthalmopathy. West J Surg. 1941;49:493-8.
- Trokel SL, Hilal SK. Submillimeter resolution CT scanning of orbital diseases. Ophthalmology. 1980;87:412-7.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | April 1, 2008 |
| Published in Issue | Year 2008 Volume: 15 Issue: 2 |