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題名 | Acute Orbital Myositis Heralding Herpes Zoster Ophthalmicus: Report of a Case=預警眼部帶狀疱疹的急性肌炎:一病例報告 |
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作者 | 曾愉桓; | 書刊名 | Acta Neurologica Taiwanica |
卷期 | 17:1 2008.03[民97.03] |
頁次 | 頁47-49 |
分類號 | 415.626 |
關鍵詞 | 眼部; 帶狀疱疹; 急性肌炎; Orbital myositis; Herpes zoster ophthalmicus; Magnetic resonance imaging; |
語文 | 英文(English) |
英文摘要 | We report a rare case that developed orbital myositis before appearance of zoster rashes. A 54 year-old man came to our hospital with a 4-day history of left orbital shooting pain extending to left temporal area. Neurological examinations demonstrated mild left proptosis and hyperemic conjunctiva without ophthalmoplegia. Brain magnetic resonance imaging (MRI) revealed left orbital myositis and periorbital skin eruptions appeared two days after this MRI study. The symptoms were improved after antiviral therapy and a follow-up MRI showed resolution of orbital myositis. Herpes zoster ophthalmicus may present as acute orbital myositis preceding skin eruptions and the recovery of orbital myositis was excellent in these patients. Our patient had postherpetic neuralgia which did not develop in previously reported cases. We conclude that herpes zoster should be listed as a cause of orbital myositis even without skin rashes. |
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