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Clinical Features of Painful Ophthalmoplegia with a High-Intensity Ring Appearance around the Optic Nerve on MRI: A Case Series
Joint Authors
Nosaki, Yasunobu
Ohyama, Ken
Watanabe, Maki
Yokoi, Takamasa
Iwai, Katsushige
Source
Case Reports in Neurological Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-03-30
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
Painful ophthalmoplegia includes nonspecific magnetic resonance imaging (MRI) manifestations and various clinical features including orbital pain and cranial nerve palsies.
Treatment for painful ophthalmoplegia remains controversial.
The aim of this report was to describe detailed clinical features, MRI findings, treatments, and prognosis of patients with painful ophthalmoplegia.
Patients and Methods.
We retrospectively investigated four cases of patients with painful ophthalmoplegia diagnosed using the International Classification of Headache Disorders, 3rd edition.
Results.
All patients experienced unilateral orbital pain and oculomotor nerve palsy with diplopia but no vision loss.
One of the four patients was diagnosed with Tolosa–Hunt syndrome based on the appearance of a granulomatous inflammation of the cavernous sinus on MRI.
No specific lesions were detected on brain MRI for the other three patients; therefore, their headaches were attributed to ischaemic ocular motor nerve palsy.
In all patients, a high-intensity ring appearance around the ipsilateral optic nerve was observed on MRI.
Steroid therapy was administered to these patients, and good prognoses were anticipated.
Conclusion.
These results indicate that prednisolone is a useful treatment for painful ophthalmoplegia that displays ipsilateral hyperintense ring lesions around the optic nerve on MRI, regardless of the presence of granulomatous inflammation of the cavernous sinus.
American Psychological Association (APA)
Nosaki, Yasunobu& Ohyama, Ken& Watanabe, Maki& Yokoi, Takamasa& Iwai, Katsushige. 2020. Clinical Features of Painful Ophthalmoplegia with a High-Intensity Ring Appearance around the Optic Nerve on MRI: A Case Series. Case Reports in Neurological Medicine،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1148934
Modern Language Association (MLA)
Nosaki, Yasunobu…[et al.]. Clinical Features of Painful Ophthalmoplegia with a High-Intensity Ring Appearance around the Optic Nerve on MRI: A Case Series. Case Reports in Neurological Medicine No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1148934
American Medical Association (AMA)
Nosaki, Yasunobu& Ohyama, Ken& Watanabe, Maki& Yokoi, Takamasa& Iwai, Katsushige. Clinical Features of Painful Ophthalmoplegia with a High-Intensity Ring Appearance around the Optic Nerve on MRI: A Case Series. Case Reports in Neurological Medicine. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1148934
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148934