Acta Medica Okayama 73巻 1号
2019-02 発行

Congenital Multiple Ocular Motor Nerve Palsy Complicated by Splitting of the Lateral Rectus Muscle

Kono, Reika Department of Ophthalmology, Okayama University Hospital
Shimizu, Takehiro Department of Ophthalmology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Ohtsuki, Hiroshi Division of Ophthalmology, Okayama Saiseikai General Hospital
Hamasaki, Ichiro Department of Ophthalmology, Okayama University Hospital
Shibata, Kiyo Department of Ophthalmology, Okayama University Hospital
Kishimoto, Fumiko Division of Ophthalmology, Ibara City Hospital
Morizane, Yuki Department of Ophthalmology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Shiraga, Fumio Department of Ophthalmology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Publication Date
2019-02
Abstract
We report a case of congenital multiple ocular motor nerve palsy combined with splitting of the lateral rectus muscle (LR). A 59-year-old Japanese female was investigated for worsening esotropia after corrective surgery. She presented with left hypertropia (35Δ) and esotropia (45-50Δ). Orbital magnetic resonance imaging (MRI) showed reduced belly sizes in the superior rectus, inferior rectus, and superior oblique muscles and splitting of the LR, extending from the origin to the belly, in the left eye. Splitting of the LR belly was detected on MRI in a case of congenital multiple ocular motor nerve palsy.
Document Type
Case Report
Keywords
multiple ocular motor nerve palsy
congenital cranial dysinnervation disorder
lateral rectus muscle splitting
orbital connective tissue
magnetic resonance imaging
Link to PubMed
Thumnail 73_1_67.pdf 6.21 MB