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This is the first known report of abducent nerve impairment in Dorello\u0027s canal, other than fetal hypoplasia. Brain MRI, muscular MRI, and muscle biopsy are useful for the diagnosis of abducent nerve palsy, and it is important to consider Dorello\u0027s canal obstruction by sarcoidosis. 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Sixth nerve palsy associated with obstruction in Dorello's canal, accompanied by nodular type muscular sarcoidosis
http://hdl.handle.net/2241/00122203
http://hdl.handle.net/2241/0012220313628935-0c94-4d59-973b-6b186fc70e29
名前 / ファイル | ライセンス | アクション |
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JNS_343-1・2 (3.5 MB)
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Item type | Journal Article(1) | |||||
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公開日 | 2014-10-08 | |||||
タイトル | ||||||
タイトル | Sixth nerve palsy associated with obstruction in Dorello's canal, accompanied by nodular type muscular sarcoidosis | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
Shioya, Ayako
× Shioya, Ayako× Takuma, Hiroshi× Shiigai, Masanari× Ishii, Akiko× Tamaoka, Akira |
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著者別名 |
詫間, 浩
× 詫間, 浩× 石井, 亜紀子× 玉岡, 晃 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | A 52-year-old Japanese woman complaining of horizontal double vision for 10 days was admitted to our hospital. Neurological examination revealed left abducent nerve palsy and muscle swelling in her thighs. Brain MRI showed obstruction in the spinal fluid space of the left Dorello's canal, which transmits a portion of the abducent nerve. In Ga-67-enhanced citrate scintigraphy, wide accumulation was seen in her bilateral thighs, lower legs, and gluteus muscles. Muscular MRI showed a star-shaped central structure on short tau inversion recovery (STIR) images, and the three stripes sign on T2-weighted images. These MRI findings indicated nodular-type muscular sarcoidosis. A muscle biopsy from the quadriceps femoris showed granulomatous epithelioid giant cells and non-necrotizing chronic lymphadenitis, which also indicate sarcoidosis. Her condition was considered to be caused by sarcoid granulomas obstructing Dorello's canal. She was treated with oral prednisolone (1 mg·kg-1·day-1) and her symptoms and MRI findings improved. This is the first known report of abducent nerve impairment in Dorello's canal, other than fetal hypoplasia. Brain MRI, muscular MRI, and muscle biopsy are useful for the diagnosis of abducent nerve palsy, and it is important to consider Dorello's canal obstruction by sarcoidosis. Complete remission can be achieved with proper treatment. | |||||
書誌情報 |
Journal of the neurological sciences 巻 343, 号 1-2, p. 203-205, 発行日 2014-08 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0022-510X | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00703265 | |||||
PubMed番号 | ||||||
識別子タイプ | PMID | |||||
関連識別子 | 24930400 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1016/j.jns.2014.05.055 | |||||
権利 | ||||||
権利情報 | © 2014 Elsevier B.V. | |||||
権利 | ||||||
権利情報 | NOTICE: this is the author’s version of a work that was accepted for publication in Journal of the neurological sciences. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of the neurological sciences, 343, 1-2, 2014, DOI: 10.1016/j.jns.2014.05.055 | |||||
著者版フラグ | ||||||
値 | author | |||||
出版者 | ||||||
出版者 | Elsevier B.V. |