- 期刊
Traumatic Orbital Apex Syndrome-A Case Report and Literature Review
外傷性眶尖症候群－病例報告及文獻回顧
摘要
眶尖症候群在臨床上並不常見。它的發生原因包括發炎、感染、腫瘤、外傷或是血管異常。我們提出一位24歲男性，因為車禍造成硬腦膜外血腫以及顱骨和顏面骨骨折。在臨床上表現出典型的眶尖症候群症狀，包括右側眼球轉動障礙、突眼、眼瞼下垂、固定且放大的瞳孔、右前額區感覺異常，以及右側視覺異常。病人接受了顏面骨開放式復位併內固定，至於神經之壓迫，我們選用類固醇保守療法。病人出院後於門診規律地追蹤了三個月。我們除了回顧文獻報告，並提出相關的討論。
關鍵字
無資料並列摘要
The orbital apex syndrome (OAS) is not commonly seen. It can be the result of inflammation, infection, neoplasm, vascular problem, or trauma. We present a 24-year-old man with traumatic epidural hemorrhage and craniofacial bone fractures due to a motor vehicle accident. He presented the typical clinical pictures of orbital apex syndrome, including right eye ophthalmoplegia, proptosis, ptosis, fixed and dilated pupil, hypesthesia over his right forehead, and visual impairment of his right eye. The patient received open reduction and internal fixation of the facial bone. For the involved cranial nerves, conservative treatment were chosen. The patient is followed-up regularly upto 3 months after discharged. The literatures are reviewed and discussions are addressed.
延伸閱讀
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