title: [Ocular myositis].
abstract: We report a young woman presenting with "painful diplopia" caused by inflammation of external eye muscles affecting both eyes sequentially. Orbital MRI disclosed swelling, signal hyperintensity and enhancement of isolated eye muscles. Corticosteroid treatment led to a complete remission within a few days. The compiled data of a literature review enclosing 52 sufficiently documented patients diagnosed as orbital myositis is reported with respect to clinical features, laboratory findings, associated disease, value of imaging procedures (CT,MRI). Therapeutic aspects and differential diagnosis are reviewed.
authors.affiliation: Neurologische Klinik, Inselspital, Universität Bern.
authors.forename: M
authors.initials: M
authors.lastname: Berkhoff
authors.forename: M
authors.initials: M
authors.lastname: Sturzenegger
authors.forename: G
authors.initials: G
authors.lastname: Schroth
authors.forename: C W
authors.initials: CW
authors.lastname: Hess
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D004334:Drug Administration Schedule; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009220:Myositis / Q000175:diagnosis* / Q000188:drug therapy; D009801:Oculomotor Muscles / Q000187:drug effects / Q000473:pathology; D009886:Ophthalmoplegia / Q000175:diagnosis* / Q000188:drug therapy; D009916:Orbital Diseases / Q000175:diagnosis* / Q000188:drug therapy; D011241:Prednisone / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed
chemical_list: D000893:Anti-Inflammatory Agents; D011241:Prednisone