Tekrarlayan orbital myozitli bir olgu
Non-spesifi k orbital infl amasyon sendromları (orbital psödotümör) oldukça heterojen bir hastalık grubudur. Orbital myozit bu grubun bir ya da birden çok orbital kasını tutan bir alt tipidir. Çocuklarda oldukça ender görülmektedir. Tedavide ilk tercih olarak kortikosteroidler kullanılır. Tedaviye yanıtsız hastalarda radyoterapi ve bağışıklık sistemini baskılayıcı gibi tedavi seçenekleri denenmektedir. Nadiren de olsa kendiliğinden gerileyen olgular bildirilmiştir.
Recurrent orbital myositis: a case report
Nonspesifi c orbital infl ammatory syndromes (orbital pseudotumor) are a heterogeneous group of conditions. Orbital myositis is a subtype of this group involving one or more orbital muscles. It is quite rare in children. Corticosteroids are the mainstay of therapy. Therapeutic alternatives such as radiotherapy and immune suppressive therapy are experimented in refractory patients. Spontaneous remissions are infrequently reported.
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- 1. Brown DH, MacRae DL, Allen LH. Orbital Pseudotumors. J Otolaryngol. 1988;17:164-168
- 2. Mahr MA, Salomao DR, Garrity JA. Inflammatory Orbital Pseudotumor With Extension Beyond the Orbit. Am J Ophthalmol. 2004;138: 396-400
- 3. Stevens JL, Rychwalski PJ, Baker RS et al. Pseudotumor of the Orbit in Early Childhood. J AAPOS. 1998;2:120-123
- 4. Jacobs D, Galeta S. Diagnosis and Management of Orbital Pseudotumor. Curr Opin Ophthalmol. 2002;13:347-351
- 5. Zurlo A, Sancesario G, Bernardi G et al. Orbital Pseudotumor: Case Report and Literature Review. Tumori 1999; 85:68-70
- 6. Weber AL, Romo LV, Sabates NR. Pseudotumor of the Orbit. Radiol Clin North Am. 1999;37:151-168
- 7. Andrew Hk, Hahn JF, Craciun A et al. Intracranial Extension of Inflammatory Pseudotumor of the Orbit. J Neurosurg. 1996;85:510-513
- 8. Lai Y, Wang H, Tsai R et al. Bilateral Orbital Pseudotumor with Suprasellar and Pulmonary Involvement: Report of a Case. J Neuroophthalmol. 2000; 20:268-272
- 9. Isobe K, Uno T, Kawakami H et al. Radiation Therapy for Idiopathic Orbital Myositis: Two Case Reports and Literature Review. Radiat Med. 2004; 22: 429-31
- 10. Atlas S, Grossman R, Savino P, et al: Surface-coil MR Oof orbital pseudotumor. AJR 1987,148:803-808.