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題 名 | 重症肌無力合併葛列夫茲氏眼疾之眼位變化--病例報告 |
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作 者 | 張雪麗; 黃嘉靜; 李錦輝; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 31:1 1992.03[民81.03] |
頁 次 | 頁58-62 |
分類號 | 416.755 |
關鍵詞 | 重症肌無力症; 葛列夫茲氏眼疾; Myasthenia gravis; Graves' disease; |
語 文 | 中文(Chinese) |
中文摘要 | 重症肌無力症患者之臨床眼位充滿變化,常須與多項腦神經麻痺引起之 眼球運動障礙做鑑別診斷。而葛列夫茲氏眼疾(Graves' Disease),即甲狀腺眼肌病 變患者之臨床眼位則常以內斜視出現,且因肌肉受犯程度不一,有內轉或垂直運 動受限之表徵。吾人報告一五十五歲男性病例,臨床表現為間歇性外斜視,要求 手術治療。經詳問病史及理學檢查後,陸續接受斜視及復相檢查,內分泌檢驗及 電腦斷層掃描等,證實為重症肌無力合併葛列夫茲氏眼疾。經投與類固醇及 Mestinon治療,眼位及兩眼同視功能均有明顯改善,避免手術治療之可能性。因 國內文獻未曾記載,故特別提出報告,以供參考。 |
英文摘要 | The clinical eye position in myasthenia gravis is variable, and differential diagnosis with ophthal-moplegia caused by central nerve palsies is necessary. The eye position of Graves' ophthalmopathy used to manifest as esotropia, which may lead to adductionor vertical eye movement limitation. A 55 years-oldmale patient who presented as intermittent exotropiaasked for surgical correction. In addition to detailhistory taken and physical examination, he also received strabismus examination, Hess chart, endocrine function test, and computerized tomography scan, etc. These results proved it as my asthenia gravis associated with Graves' disease. Since his eye position and binocular vision improved apparently after treatment of corticosteroid and Mestinon, no surgery was undertaken. We present this case for reference due to it had never been recorded in Chinese medical journal. |
本系統中英文摘要資訊取自各篇刊載內容。