Çocukluk çağında üçüncü sinir felci ile seyreden ağrılı oftalmopleji
Küçük Resim Yok
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Çocukluk çağında üçüncü sinir felci ile seyreden ağrılı oftalmopleji yapabilen sebepler arasında, postenfeksiyöz üçüncü sinir felci, bası yapan kitle lezyonları, vasküler anomaliler ve oftalmoplejik migren bulunmaktadır. Oftalmoplejik migren, çocukluk çağında başlayan tekrarlayan baş ağrısı atakları ve oftalmoplejiyle karakterize, literatürde ender rastlanılan bir patolojidir. Oftalmopleji; 3., 4. ya da 6. kraniyal sinirin parezisi ya da paralizine bağlı olarak ortaya çıkar. Ataklar bazen birkaç saat bazen de birkaç hafta sürebilir ve genelde uygun tedaviyle düzelir, ancak bazı olgularda kalıcı sorunlar görülebilir. Bu çalışmada çift görme, tek gözde kapak düşüklüğü, midriyazis ve şiddetli baş ağrısı şikayetleri ile göz polikliniğine başvuran 11 yaşındaki olgu tartışıldı. Hastanın oftalmolojik muayenesinde okülomotor paralizi saptanarak, oftalmoplejik migren tanısı düşünüldü ve buna yönelik ilaç tedavisine başlandı. Migren tedavisi sonrasında hastanın şikayetleri azaldı ve 8 hafta içinde tamamen düzeldi. Bu olgu sunumu ile, çocukluk çağında ağrılı oftalmopleji ve bu tabloya yol açabilecek hastalıklar tartışıldı. (Turk J Ophthalmol 2012; 42: 159-62)
The causes of painful ophthalmoplegia that manifests with third nerve palsy in childhood include postinfectious third nerve palsy, compressive lesions, vascular anomalies and ophthalmoplegic migraine. Ophthalmoplegic migraine is a rare pathology in the literature and is characterized by recurrent attacks of headache and ophthalmoplegia that usually begins during childhood. Ophtalmoplegia occurs due to paresis or paralysis of cranial nerves 3, 4 or 6. Attacks may last a few hours to weeks and usually are recovered with appropriate therapy, but some cases may demonstrate permanent defects. in this paper, we discuss the case of an 11-year-old patient, who was admitted to our outpatient clinic with the complaints of right ptosis, mydriasis and severe headache. Ophthalmologic examination revealed oculomotor nerve palsy, the patient was diagnosed as having ophthalmoplegic migraine and medical treatment was started. Her complaints have regressed with medication for migraine and recovered completely in 8 weeks. in this case report, painful ophthalmoplegia during childhood and its possible causes are discussed. (Turk J Ophthalmol 2012; 42: 159-62)
The causes of painful ophthalmoplegia that manifests with third nerve palsy in childhood include postinfectious third nerve palsy, compressive lesions, vascular anomalies and ophthalmoplegic migraine. Ophthalmoplegic migraine is a rare pathology in the literature and is characterized by recurrent attacks of headache and ophthalmoplegia that usually begins during childhood. Ophtalmoplegia occurs due to paresis or paralysis of cranial nerves 3, 4 or 6. Attacks may last a few hours to weeks and usually are recovered with appropriate therapy, but some cases may demonstrate permanent defects. in this paper, we discuss the case of an 11-year-old patient, who was admitted to our outpatient clinic with the complaints of right ptosis, mydriasis and severe headache. Ophthalmologic examination revealed oculomotor nerve palsy, the patient was diagnosed as having ophthalmoplegic migraine and medical treatment was started. Her complaints have regressed with medication for migraine and recovered completely in 8 weeks. in this case report, painful ophthalmoplegia during childhood and its possible causes are discussed. (Turk J Ophthalmol 2012; 42: 159-62)
Açıklama
Anahtar Kelimeler
Göz Hastalıkları
Kaynak
Türk Oftalmoloji Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
42
Sayı
2
