특발성 비후성 두개 경막염과 동반된 우안 상사근 마비

• 영문명: Right Superior Oblique Paralysis associated with Idopathic Hypertropic Cranial Pachymeningitis
• 발행기관: 대한안과학회
• 저자명: 김언정 김종명 유지명,Eon Jeong Kim, M.D., Jong Myong Kim, M.D., Ji Myong Yoo, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume47,number2, 332~337쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2006.02.28

영문 초록

Purpose: Idiopathic hypertrophic cranial pachymeningitis (IHCP) is a rare disase, which causes chronic progressive inflammation and thickening of the basal dura mater. We report a case of IHCP associated with superior oblique paralysis and present a review of the literature. Methods: An 8-year-old boy presented with binocular diplopia and left side head tilting. Suspecting right superior oblique muscle paralysis, an alternating prism test, head tilt test, fundus examinations, neurologic examination, and brain MRI were performed. Results: The brain MRI revealed abnormal enhancement of the right tentorium in the course of the right fourth cranial nerve, leading to a diagnosis of IHCP with paralytic strabismus and the patient was treated with systemic steroid therapy. Conclusions: We report a case of IHCP with right superior oblique paralysis. Patients with recent onset paralytic strabismus require appropriate neurolgic and neuroimaging examinations.

키워드

Brain MRI, Idiopathic hypertrophic cranial pachymeningitis, Superior oblique paralysis