诊断单侧附属眼外肌引起的复视的放射学评估

Q4 Medicine

Radiology Case Reports Pub Date : 2024-10-29 DOI:10.1016/j.radcr.2024.09.150

Ryan Nolan BS , Todd Boscarello BS , Robby Boparai MS , Karthik Raghuram MD

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引用次数: 0

摘要

本病例报告详细描述了一例 52 岁女性的病例，她有复视和右眼抬高不足的病史。最初在 2005 年通过核磁共振成像被误诊为 "后天性牵张球部肌肉"，尽管进行了手术切除，但症状依然存在。2023 年的随访核磁共振成像证实无变化，排除了神经麻痹或精神分裂症等其他病因，最终确诊为附属眼外肌。该病例强调了成像在诊断罕见解剖变异方面的重要性，这些变异可能表现出与更常见疾病相似的症状。提高对附属眼外肌的认识可以提高诊断的准确性并改善患者的预后。

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Radiologic evaluation in the diagnosis of diplopia due to unilateral accessory extraocular muscle

This case report details a case of a 52-year-old female with a history of diplopia and an elevation deficit in her right eye. Initially misdiagnosed as an atavistic retractor bulbi muscle in 2005 via MRI, symptoms persisted despite surgical excision. Follow-up MRI in 2023 confirmed no changes, ruling out other causes like nerve palsy or schwannoma, and ultimately guiding diagnosis towards an accessory extraocular muscle. This case underscores the importance of imaging in diagnosing rare anatomical variations that may present with symptoms similar to more common conditions. Increased awareness of accessory extraocular muscles can enhance diagnostic accuracy and patient outcomes.

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.