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題名 | Fibrous Dysplasia Associated with Optic Atrophy--A Case Report=纖維性發育不良合併視神經萎縮--病例報告 |
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作者 | 丁佩卿; 蔡榮坤; 孫仲毅; Ding, Pei-ching; Tsai, Rong-kung; Sun, Chung-yi; |
期刊 | 中華民國眼科醫學會雜誌 |
出版日期 | 19990600 |
卷期 | 38:2 1999.06[民88.06] |
頁次 | 頁268-272 |
分類號 | 416.73 |
語文 | eng |
關鍵詞 | 纖維性發育不良; 視神經; Fibrous dysplasia; Craniofacial bones; Optic atrophy; |
中文摘要 | 本文報告一位十三歲女性罹患纖維性發育不良合併視神經萎縮的臨床和影像學 上的表現。她在最近的三到四個月內逐漸喪失右眼視力,而且發現牠的雙側臉頰不對稱。 眼科檢查顯示她的有眼視力僅剩下在眼前30cm處可辨手指數,右眼有凸眼,膧孔光反射異 常,及視神經萎縮。她的過去史中沒有皮膚色素沈著,性早熟,或其他內分泌異常。電腦 斷層顯示右側顏面骨有散在性的增厚及右側視神經管狹窄的現象。較晚作的磁振掃描發現 其病灶仍然在惡化。我們提出此罕見的病例並討論其病理生理學。 |
英文摘要 | We report the clinical and radiological features of a 13-year-old girl with fibrous dysplasia. She has suffered from progressive loss of vision in the right eye for 3 or 4 months and facial asymmetry for many years. Ophthalmological examination revealed reduced visual acuity to finger counting at 30cm, proptosis, Marcus Gunn pupil, and optic atrophy in the right eye. She had no history of skin pigmentation, precocious puberty, or other endocrine abnormal ities. CT scan showed the diffuse thickening of right facial bone with ground-glass appearance and narrowed right optic canal. Later, magnetic resonance imaging revealed a progression of the lesion. We report this rare case and pathophysiology of fibrous dysplasia. |
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