CAJ | 학술논문

一位67岁男性患者出现右边颞侧头痛和右眼视力突发性无痛性丧失,出现这些症状时还伴有全部眼肌麻痹和视盘水肿.ESR和C-反应蛋白升高.核磁共振检查证实有视神经鞘膜炎的特征.右颞侧动脉的活组织切片检查正常.眼外肌运动随着全身激素的应用而好转.不幸的是此后患者右眼发展为中央视网膜动脉阻塞.全眼肌麻痹是巨细胞动脉炎的一种罕见表现,为了得到满意的治疗结果并且阻止对侧眼盲,疾病开始时使用皮质类固醇激素是必要的.
일위67세남성환자출현우변섭측두통화우안시력돌발성무통성상실,출현저사증상시환반유전부안기마비화시반수종.ESR화C-반응단백승고.핵자공진검사증실유시신경초막염적특정.우섭측동맥적활조직절편검사정상.안외기운동수착전신격소적응용이호전.불행적시차후환자우안발전위중앙시망막동맥조새.전안기마비시거세포동맥염적일충한견표현,위료득도만의적치료결과병차조지대측안맹,질병개시시사용피질류고순격소시필요적.
A 67-year-old man presented with right sided temporal headache and sudden onset of painless loss of vision in the right eye. It was associated with total ophthalmoplegia with swollen optic disc. ESR and C-reactive protein were elevated. Magnetic resonance imaging demonstrated features of optic perineuritis. The right temporal artery biopsy was normal. The extraocular movements improved with systemic steroids. Unfortunately the patient developed central retinal artery occlusion in the right eye. Total ophthalmoplegia is a rare presentation of giant cell arteritis and initiation of corticosteroids is required for a satisfactory outcome and to prevent blindness of the fellow eye.