Emek uyur YALÇIN, Nilufer Eldes HACIFAZLIOGLU, Hatice AKAY, Hacer AKTÜRK, Gökhan ÇELİK, Feyza Mediha YILDIZ

Oftalmopleji̇ ile Başvuran Pedi̇atri̇k Olguda Nadi̇r Bi̇r Neden: İdi̇yopati̇k Orbi̇tal Mi̇yozi̇t

Özet: İdiyopatik orbital miyozit; çocuklarda oldukça seyrek görülen, nedeni tam olarak bilinmeyen, otoimmün olduğu düşünülen bir hastalıktır. Olguların çoğunda kortikosteroidler hızlı ve dramatik düzelme sağlamaktadır. Bu vaka takdiminde; baş ağrısı ve orbital ağrı yakınması ile başvuran, nörolojik incelemesinde sağ gözde dışa bakışta, sol gözde ise aşağı bakışta kısıtlılık saptanan, klinik izlemde nonsteroid antienflamatuar tedavi ile düzelme gözlenen, idiyopatik orbital miyozit tanısı alan on bir yaşında bir çocuk olgu sunulmuştur.

Anahtar Kelimeler:

İdiyopatik orbital miyozit, orbital ağrı, oftalmopleji

A Rare Cause Of Ophthalmoplegia in A Pediatric Case: Idiopathic Orbital Myositis

Summary: Idiopathic orbital myositis is a disease with unknown etiology, but it is thought to be an autoimmune disease, which is rarely seen among children. In most cases, corticosteroids provide a rapid and dramatic improvement. In this case report, we present an 11-year-old girl who admitted to our clinic with headache and orbital pain. Her neurologic examination revealed restriction of the outside glance on the right eye and restriction of the down glance on the left eye. Finally, she was diagnosed as idiopathic orbital myositis and improved with non-steroidal anti-inflammatory treatment.

Keywords:

Idiopathic orbital miyozit, orbital pain, ophthalmoplegia,

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1. Gleason JE. Idiopathic myositis involving the intraocular muscles. Ophthalmol Rec1903;12:471-478)
2. Yuen SJ, Rubin PA. Idiopathic orbital inflammation: distribution, clinical features, and treatment outcome. Arch Ophthalmol 2003; 121: 491-499.3.
3. Scott IU, Siatkowski RM. Idiopathic orbital myositis. Curr Opin Rheumatol 1997; 9: 504-512.
4. Dylewski JS, Drummond R, Towsend T. Orbital myositis complicating sinusitis: Case report and review. Can J Infect Dis. 2001; 12(1):51-3.
5. Weber AL, Romo LV, Sabates NR. Pseudotumor of the orbit. Clinical, pathologic, and radiologic evaluation. Radiol Clin North Am 1999; 37: 151-168.
6. Demirtaş E, Kanık A, Eliaçık K, Öztrük S, Çavuşoğlu D, Sarıoğlu B. Bir adolesan olguda idiyopatik orbital myozit. Tepecik Eğitim ve Araştırma Hastanesi dergisi; 25(3):203-205 7. Schoser B. Ocular myositis: diagnostic assessment, differential diagnoses, and therapy of a rare muscle disease- five new cases and review. Clinical Ophthalmology. 2007; 1: 37-42 8. Turkcuoğlu P,Emre S, Fırat A, Bilak S. Bir çocuk olguda idiopatik orbital miyozit. İnönü Üniversitesi Tıp Fakültesi Dergisi . 2008; 15: 135-37.
9. Yazicioglu T, Kutluturk I. Idiopathic orbital myositis in a 9-year-old girl: a case report. Iran J Pediatr.2015; 25(3):375
10. Ülger Z, Tosun A, Rala S, Serdaroğlu G, Üretmen Ö, Darcana A, Tekgül H, Gökben S. Çocuklarda idiyopatik orbital miyozit: Bir vaka takdimi. Çocuk Sağlığı ve Hastalıkları Dergisi 2006;49:117-120
11. Rubin PA, Foster CS. Etiology and management of idiopathic orbital inflammation. Am J Ophthalmol 2004; 138: 1041-1043.
12. Lacey B, Chang W, Rootman J. Nonthyroid causes of extraocular muscle disease. Surv Ophthalmol 1999; 44: 187-213.10.
13. Serop S, Vianna RN, Claeys M, De Laey JJ. Orbital myositis secondary to systemic lupus erythematosus. Acta Ophthalmol 1994; 72: 520-523.
14. Nabili S, McCarey DW, Browne B, Capell HA. A case of orbital myositis associated with rheumatoid arthritis. Ann Rheum Dis 2002; 61: 938-939 . 15. Arnett FC, Michels RG. Inflammatory ocular myopathy in systemic sclerosis (scleroderma): a case report and review of the literature. Arch Intern Med 1973; 132: 740-743.
16. Lin H, Burton EM, Felz MW. Orbital myositis due to Kawasaki's disease. Pediatr Radiol 1999; 29: 634-636.
17. Volpe NJ, Shore JW. Orbital myositis associated with herpes zoster. Arch Ophthalmol 1991; 109: 471-472.15.
18. Thurairajan G, Hope-Ross MW, Situnayake RD, Murray PI. Polyarthropathy, orbital myositis and posterior scleritis: an unusual adverse reaction to influenza vaccine. Br J Rheumatol 1997; 36: 120-123.
19. Rothfus WE, Curtin HD. Extraocular muscle enlargement: A CT review. Radiology. 1984;151:677-81
20. Pelit A, Ulaş B, Alkan Ö. Pediatrik olguda idiyopatik orbital miyozit. Turk J Ophthalmol .2013; 43(5):362-364
21. Bowling B. Kanski’s Clinical Ophthalmology. Elsevier; 2016. Syf 77-117.