A Rare Cause Of Ophthalmoplegia in A Pediatric Case: Idiopathic Orbital Myositis

Abstract

Summary: Idiopathic orbital myositis is a disease with unknown etiology, but it is thought to be an autoimmune disease, which is rarely seen among children. In most cases, corticosteroids provide a rapid and dramatic improvement. In this case report, we present an 11-year-old girl who admitted to our clinic with headache and orbital pain. Her neurologic examination revealed restriction of the outside glance on the right eye and restriction of the down glance on the left eye. Finally, she was diagnosed as idiopathic orbital myositis and improved with non-steroidal anti-inflammatory treatment.

Keywords

• Idiopathic orbital miyozit,orbital pain,ophthalmoplegia

Oftalmopleji̇ ile Başvuran Pedi̇atri̇k Olguda Nadi̇r Bi̇r Neden: İdi̇yopati̇k Orbi̇tal Mi̇yozi̇t

Öz

Özet: İdiyopatik orbital miyozit; çocuklarda oldukça seyrek görülen, nedeni tam olarak bilinmeyen, otoimmün olduğu düşünülen bir hastalıktır. Olguların çoğunda kortikosteroidler hızlı ve dramatik düzelme sağlamaktadır. Bu vaka takdiminde; baş ağrısı ve orbital ağrı yakınması ile başvuran, nörolojik incelemesinde sağ gözde dışa bakışta, sol gözde ise aşağı bakışta kısıtlılık saptanan, klinik izlemde nonsteroid antienflamatuar tedavi ile düzelme gözlenen, idiyopatik orbital miyozit tanısı alan on bir yaşında bir çocuk olgu sunulmuştur. 

Anahtar Kelimeler

• İdiyopatik orbital miyozit,orbital ağrı,oftalmopleji

Kaynakça

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