眼科 ›› 2013, Vol. 22 ›› Issue (5): 289-291.

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重视医学影像学在眼外肌麻痹病因诊断中的价值

燕飞, 李眉   

  1. 100730 首都医科大学附属北京同仁医院放射科(燕飞);核医学科(李眉)
  • 收稿日期:2013-08-20 出版日期:2013-09-25 发布日期:2013-09-29
  • 通讯作者: 燕飞, Email: yanever@163.com

Pay attention to the value of medical imaging in etiology diagnosis of external ophthalmoplegia

 YAN  Fei1,   Li-Mei2   

  1. 1.Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China; 2. Department of Nuclear Medicine, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2013-08-20 Online:2013-09-25 Published:2013-09-29
  • Contact: YAN Fei, Email: yanever@163.com

摘要: 随着现代医学影像学检查技术的飞速发展,MRI在先天性及后天性眼外肌麻痹的病因学诊断中发挥着重要作用。颅内病变可影响眼运动神经导致眼外肌麻痹,MRI能够直接发现神经与其邻近病变的关系。3D-FIESTA MRI 还能够直接显示颅神经(Ⅲ、Ⅵ、Ⅶ)脑池段的异常改变,为先天性神经源性斜视的诊断提供客观依据。99mTc-奥曲肽SPECT/CT在判断甲状腺相关性眼病活动性及治疗效果评价的定量研究中具有较大应用价值。(眼科,2013, 22: 289-291)

关键词: 磁共振成像, 眼外肌麻痹, 甲状腺相关性眼病, 放射性核素显像, 病因分析

Abstract: With the rapid development of modern medical imaging technology, magnetic resonance imaging(MRI) plays an increasingly important role in studing the etiology of congenital external opthalmoplegia and acquired extraocular muscles paralysis. Oculomotor nerves may be affected by the intracranial lesions, and develop external ophthalmoplegia. MRI could depict the relationship between the nerves and its adjacent lesions. 3D-FIESTA MRI could also directly demonstrate abnormality of cranial nerves(Ⅲ、Ⅵ、Ⅶ) in the cistern segment, and could be used for diagnosis and differential diagnosis of congenital neurogenic strabismus. Orbital 99mTc labeled octreotide SPECT/CT has a good prospect in evaluating activity and treatment effect of active thyroid associated ophthalmopathy. (Ophthalmol CHN, 2013, 22: 289-291)

Key words: magnetic resonance imaging, external ophthalmoplegia, thyroid associated ophthalmopathy, radionuclide imaging, etiological analysis