Ophthalmoplegia, ptosis, and miosis in temporal arteritis
Ophthalmoplegia, ptosis, and miosis in temporal arteritis
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颞动脉炎引起的眼肌麻痹、上睑下垂和瞳孔缩小
作者：
J. Dimant;D. Grob;N. Brunner
14 名活检证实为颞动脉炎的患者中，有 7 名出现眼肌麻痹。只有一名患者出现复视。七名患者中有六名的眼肌麻痹模式与其中一根眼运动神经的分布不相符。向上凝视受损最为常见。 5 名患者眼肌麻痹伴有上睑下垂，5 名患者伴有瞳孔缩瞳。 1例患者颞动脉炎主要表现为眼肌麻痹和上睑下垂。所有七名患者的动眼神经体征和症状均对皮质类固醇治疗有反应，但两名患者需要长期治疗。眼肌麻痹或上睑下垂可能是早期表现，并且可能先于视力丧失，因此建议怀疑颞动脉炎的患者经常进行检查，一旦发现颞动脉炎的任何眼部表现，立即给予足够剂量的皮质类固醇。
Ophthalmoplegia occurred in 7 of 14 patients with biopsy proved temporal arteritis. Only one patient had diplopia. In six of the seven patients, the pattern of ophthalmoplegia did not conform to the distribution of one of the ocular motor nerves. Impairment of upward gaze was most common. In five patients the ophthalmoplegia was accompanied by ptosis, and in five it was accompanied by a miotic pupil. Ophthalmoplegia and ptosis were the major manifestations of temporal arteritis in one patient. Oculomotor signs and symptoms responded to corticosteroid therapy in all seven patients, but in two patients prolonged therapy was necessary. Ophthalmoplegia or ptosis may be early manifestations and may precede visual loss, so that frequent examination is recommended in patients suspected of temporal arteritis, with prompt administration of adequate doses of corticosteroid as soon as any ocular manifestations of temporal arteritis are noted.