Clinical-Radiologic Correlation of Extraocular Eye Movement Disorders: Seeing beneath the Surface

被引:8
|
作者
Thatcher, Joshua [1 ]
Chang, Yu-Ming [1 ,5 ]
Chapman, Margaret N. [1 ,6 ]
Hovis, Keegan [1 ]
Fujita, Akifumi [1 ,7 ]
Sobel, Rachel [2 ]
Sakai, Osamu [1 ,3 ,4 ]
机构
[1] Boston Univ, Sch Med, Boston Med Ctr, Dept Radiol, 820 Harrison Ave,3rd Floor, Boston, MA 02118 USA
[2] Boston Univ, Sch Med, Boston Med Ctr, Dept Ophthalmol, 820 Harrison Ave,3rd Floor, Boston, MA 02118 USA
[3] Boston Univ, Sch Med, Boston Med Ctr, Dept Otolaryngol Head & Neck Surg, 820 Harrison Ave,3rd Floor, Boston, MA 02118 USA
[4] Boston Univ, Sch Med, Boston Med Ctr, Dept Radiat Oncol, 820 Harrison Ave,3rd Floor, Boston, MA 02118 USA
[5] Beth Israel Deaconess Med Ctr, Dept Radiol, 330 Brookline Ave, Boston, MA 02215 USA
[6] Vet Adm Boston Healthcare Syst, Dept Radiol, Boston, MA USA
[7] Jichi Med Univ, Sch Med, Dept Radiol, Shimotsuke, Tochigi, Japan
关键词
CRANIAL DYSINNERVATION DISORDERS; CAROTID-CAVERNOUS FISTULAS; OF-THE-LITERATURE; NERVE PALSY; IMAGING FINDINGS; IGG4-RELATED DISEASE; COMPUTED-TOMOGRAPHY; MOBIUS-SYNDROME; BROWN SYNDROME; MRI;
D O I
10.1148/rg.2016150227
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Extraocular eye movement disorders are relatively common and may be a significant source of discomfort and morbidity for patients. The presence of restricted eye movement can be detected clinically with quick, easily performed, noninvasive maneuvers that assess medial, lateral, upward, and downward gaze. However, detecting the presence of ocular dysmotility may not be sufficient to pinpoint the exact cause of eye restriction. Imaging plays an important role in excluding, in some cases, and detecting, in others, a specific cause responsible for the clinical presentation. However, the radiologist should be aware that the imaging findings in many of these conditions when taken in isolation from the clinical history and symptoms are often nonspecific. Normal eye movements are directly controlled by the ocular motor cranial nerves (CN III, IV, and VI) in coordination with indirect input or sensory stimuli derived from other cranial nerves. Specific causes of ocular dysmotility can be localized to the cranial nerve nuclei in the brainstem, the cranial nerve pathways in the peripheral nervous system, and the extraocular muscles in the orbit, with disease at any of these sites manifesting clinically as an eye movement disorder. A thorough understanding of central nervous system anatomy, cranial nerve pathways, and orbital anatomy, as well as familiarity with patterns of eye movement restriction, are necessary for accurate detection of radiologic abnormalities that support a diagnostic source of the suspected extraocular movement disorder. (C) RSNA, 2016 center dot radiographics.rsna.org
引用
收藏
页码:2123 / 2139
页数:17
相关论文
共 41 条
  • [1] PARALYSIS OF DOWNGAZE IN 2 PATIENTS WITH CLINICAL-RADIOLOGIC CORRELATION
    GREEN, JP
    NEWMAN, NJ
    WINTERKORN, JS
    [J]. ARCHIVES OF OPHTHALMOLOGY, 1993, 111 (02) : 219 - 222
  • [2] Histologic Correlation with the Clinical-Radiologic Acute Cholecystitis Syndrome
    Hammer, S. T. G.
    Maturen, K. E.
    Appelman, H. D.
    [J]. LABORATORY INVESTIGATION, 2013, 93 : 153A - 153A
  • [3] Histologic Correlation with the Clinical-Radiologic Acute Cholecystitis Syndrome
    Hammer, S. T. G.
    Maturen, K. E.
    Appelman, H. D.
    [J]. MODERN PATHOLOGY, 2013, 26 : 153A - 153A
  • [4] FLAIR vascular hyperintensity resolution in a TIA patient Clinical-radiologic correlation
    Taieb, Guillaume
    Renard, Dimitri
    Macri, Francesco
    [J]. NEUROLOGY, 2014, 82 (22) : 2039 - 2039
  • [5] FLAIR VASCULAR HYPERINTENSITY RESOLUTION IN A TIA PATIENT: CLINICAL-RADIOLOGIC CORRELATION
    Ghuman, Mandeep S.
    Kaur, Shabdeep
    [J]. NEUROLOGY, 2015, 84 (02) : 215 - 215
  • [6] PULMONARY MELIOIDOSIS - CLINICAL-RADIOLOGIC CORRELATION IN 183 CASES IN NORTHEASTERN THAILAND
    DHIENSIRI, T
    PUAPAIROJ, S
    SUSAENGRAT, W
    [J]. RADIOLOGY, 1988, 166 (03) : 711 - 715
  • [7] Correlation Between Lymphedema Disease Severity and Lymphoscintigraphic Findings: A Clinical-Radiologic Study
    Maclellan, Reid A.
    Zurakowski, David
    Voss, Stephan
    Greene, Arin K.
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2017, 225 (03) : 366 - 370
  • [8] Internal carotid artery dissection: MR imaging features and clinical-radiologic correlation
    Ozdoba, C
    Sturzenegger, M
    Schroth, G
    [J]. RADIOLOGY, 1996, 199 (01) : 191 - 198
  • [9] Lateral epicondylitis and beyond: imaging of lateral elbow pain with clinical-radiologic correlation
    Kotnis, Nikhil A.
    Chiavaras, Mary M.
    Harish, Srinivasan
    [J]. SKELETAL RADIOLOGY, 2012, 41 (04) : 369 - 386
  • [10] Lateral epicondylitis and beyond: imaging of lateral elbow pain with clinical-radiologic correlation
    Nikhil A. Kotnis
    Mary M. Chiavaras
    Srinivasan Harish
    [J]. Skeletal Radiology, 2012, 41 : 369 - 386