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首页> 外文期刊>Pain research & management: the journal of the Canadian Pain Society = journal de la socie?te? canadienne pour le traitement de la douleur >Recurrent Painful Ophthalmoplegic Neuropathy and Oculomotor Nerve Schwannoma: A Pediatric Case Report with Long-Term MRI Follow-Up and Literature Review
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Recurrent Painful Ophthalmoplegic Neuropathy and Oculomotor Nerve Schwannoma: A Pediatric Case Report with Long-Term MRI Follow-Up and Literature Review

机译：复发性眼肌麻痹性神经病变和动眼神经神经鞘瘤：长期MRI随访和文献复习的小儿病例报告

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Background. Recurrent painful ophthalmoplegic neuropathy (RPON), previously known as ophthalmoplegic migraine (OM), is an uncommon disorder with repeated episodes of ocular cranial nerve neuropathy associated with ipsilateral headache. The age of presentation is most often during childhood or adolescence. MRI has a central role in the assessment of the RPON, especially to distinguish orbital, parasellar, or posterior fossa lesions that mimic symptoms of RPON. Actually, oculomotor nerve tumors may be masquerade as RPON so that MRI follow-ups are required to detect the possibility of tumor etiology. Case presentation. We report a 16-year-old boy with a 7-year follow-up and multiple brain MRI data, previously diagnosed as OM. The last brain MRI, performed during an acute phase of oculomotor paresis with ipsilateral headache, showed a nodular lesion described as schwannoma of III cranial nerve. Then, we reviewed the literature on OM and RPON in pediatric age with a focus on brain MRI findings. Conclusions. This review highlights the important role of serial brain MRIs in the long-term follow-up of RPON, especially in the cases with childhood onset, in order to not delay the diagnosis of a possible oculomotor nerve schwannoma.
机译：背景。复发性疼痛性眼肌麻痹性神经病（RPON），以前称为眼肌麻痹性偏头痛（OM），是一种罕见的疾病，伴同侧头痛的眼部颅神经神经病反复发作。演讲的年龄最常见于儿童或青春期。 MRI在RPON的评估中起着核心作用，特别是要区分模仿RPON症状的眶，巩膜旁或后颅窝病变。实际上，动眼神经肿瘤可能会像RPON一样被伪装，因此需要进行MRI随访以检测肿瘤病因的可能性。案例介绍。我们报告了一个16岁的男孩，进行了7年的随访，并获得了多个脑部MRI数据，先前被诊断为OM。在动眼神经麻痹伴同侧头痛的急性期进行的最后一次脑部MRI显示结节性病变，称为III颅神经神经鞘瘤。然后，我们回顾了有关儿童年龄段的OM和RPON的文献，重点研究了脑部MRI发现。结论。这篇综述强调了串行脑MRI在RPON的长期随访中的重要作用，特别是在儿童期发病的情况下，以不延误可能的动眼神经神经鞘瘤的诊断。

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