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Number of results

Journal

2013 | 8 | 6 | 732-735

Article title

Cutting the edge of idiopathic recurrent orbital myositis

Content

Title variants

Languages of publication

EN

Abstracts

EN
The spectrum of orbital inflammatory diseases ranges broadly from specific diseases as connective tissue disorders, thyroid ophthalmopathy to non-specific inflammations, which may involve one or multiple structures of the orbit and/ or the surrounding sinus. Idiopathic orbital myositis (IOM) may be a localized process or it can be secondary to systemic diseases. We report 4 patients affected by IOM; in all relapsing diplopia was the main complaint, associated with orbital pain in 3 and with abnormal visual evoked responses in 2. Computed tomography (CT), magnetic resonance imaging (MRI) supported the diagnosis revealing enlargement, altered signal intensity of affected muscles. Repeated MRI scans and extensive laboratory examinations comprising of the search for a remote malignacy, lymproliferative, connective tissue diseases, thyroid ophthalmopathy were necessary to confirm the diagnosis. Oral or/and intravenous steroids were main treatments; relapses often occurred when steroid was tapered down. Intravenous immuneglobulins and azathioprine was used in one refractory case

Publisher

Journal

Year

Volume

8

Issue

6

Pages

732-735

Physical description

Dates

published
1 - 12 - 2013
online
6 - 12 - 2013

Contributors

  • Department of Neurosciences, University Hospital of Modena and Reggio Emilia, Via P. Giardini, 1350, 41010, Modena, Italy
  • Department of Neurosciences, University Hospital of Modena and Reggio Emilia, Via P. Giardini, 1350, 41010, Modena, Italy
  • Neuroradiology Service, University Hospital of Modena and Reggio Emilia, Via P. Giardini, 1350, 41010, Modena, Italy
  • Department of Neurosciences, University Hospital of Modena and Reggio Emilia, Via P. Giardini, 1350, 41010, Modena, Italy

References

  • [1] Siatkowski RM, Capo H, Bryne SF, Gendron EK, Flynn JT, Muñoz M, Feurer WJ Clinical and echographic findings in idiopathic orbital myositis. Am J Ophthalmol 1994;118: 343–350
  • [2] Attarian S, Fernandez C, Azulay J-Ph, Serratrice J, Pellissier J-F, Pouget J. Myosites orbitaire: étude clinique,radiologique et profil évolutif. Rev Neurol (Paris) 2003;159:307–312
  • [3] Pagès M, Malanda G, Mayembo MA. Ophthalmoplegie indolore et rècidivante révélatrice d’une myosite orbitaire. Rev Neurol (Paris) 2005; 161: 224–225 http://dx.doi.org/10.1016/S0035-3787(05)85028-3[Crossref]
  • [4] Pollard ZP. Acute rectus muscle palsy in children as a result of orbital myositis. J Pediat 1996;128:230–3 http://dx.doi.org/10.1016/S0022-3476(96)70395-5[Crossref]
  • [5] Fischer M, Kempkes U, Haage P, Isenmann S. Recurrent orbital myositis mimicking sixth nerve palsy: diagnosis with MR imaging. AJNR 2010; 31: 275–276 http://dx.doi.org/10.3174/ajnr.A1751[Crossref][WoS]
  • [6] Avni-Zauberman N, Tripathy D, Rosen N, Ben Simon GJ. Relapsing migratory idiopathic orbital inflammation: six new cases and review of the literature. Br J Ophthalmol 2012; 96: 276–280 http://dx.doi.org/10.1136/bjo.2010.191866[Crossref][WoS]
  • [7] Wasmeier C, Pfadenhauer K, Rösler A. Idiopathic inflammatory pseudotumor of the orbit and Tolosa-Hunt syndrome- are they the same disease? J Neurol 2002;249:1237–1241 http://dx.doi.org/10.1007/s00415-002-0818-x[Crossref]
  • [8] Matsuno K, Osako M, Osako S, Okano T, Kotake F, Usui M. A case of orbital myositis complicated with optic neuropathy-analysis of the pathological mechanism of optic neuropathy from magnetic resonance imaging findings. Nippon Ganka Gakkai Zasshi. 2002; 106: 304–311
  • [9] Wallace ZS, Khosroshahi A, Jakobiec FA, Deshpande V, Hatton MP, Ritter J, Ferry JA, Stone JH. IgG4-related systemic disease as a cause of “idiopathic”orbital inflammation, including orbital myositis and trigeminal nerve involvement. Surv Ophthalmol 2012; 57: 26–33 http://dx.doi.org/10.1016/j.survophthal.2011.07.004[WoS][Crossref]
  • [10] Lee MS, Lessell S. Orbital myositis posing as cluster headache. Arch Neurol 2002; 59: 635–636 http://dx.doi.org/10.1001/archneur.59.4.635[Crossref]
  • [11] Shambal S, Lindner A, Zierz S. Successful treatment of orbital myositis with intravenous immunoglobulins. Muscle Nerve 1998; 21: 1359–60 http://dx.doi.org/10.1002/(SICI)1097-4598(199810)21:10<1359::AID-MUS26>3.0.CO;2-W[Crossref]
  • [12] Hatton MP, Rubin PAD, Foster CS. Successful treatment of idiopathic orbital inflammation with mycophenolate mofetil. Am J Ophthalmol 2005; 140: 916–918 http://dx.doi.org/10.1016/j.ajo.2005.04.053[Crossref]

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_s11536-013-0201-6
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