التفاصيل البيبلوغرافية
| العنوان: |
Recurrent painful ophthalmoplegic neuropathy: A report on the patient from the Romani population and 82-year-old patient. |
| العنوان البديل: |
Rekurentna bolna oftalmoplagička neuropatija - prikaz bolesnika iz romske populacije i 82-godišnjeg bolesnika. |
| المؤلفون: |
Miletić-Drakulić, Svetlana1, Aleksić, Dejan Zoran1 drdeal1987@gmail.com |
| المصدر: |
Vojnosanitetski Pregled: Military Medical & Pharmaceutical Journal of Serbia. Nov2020, Vol. 77 Issue 11, p1231-1234. 4p. |
| مصطلحات موضوعية: |
*OLDER patients, *YEAR, *HUMAN herpesvirus 1, *CHICKENPOX, *ROMANIES, *NEUROPATHY |
| الملخص (بالإنجليزية): |
Introduction. The current diagnostic criteria for recurrent painful ophthalmoplegic neuropathy (RPON) are at least two attacks of unilateral headache, associated with ipsilateral paresis of one, two or all three cranial nerves (III, IV or VI). There is no case report about RPON in the Romany population. The oldest patient with RPON, published in the literature, was 74 years old. Case report. The first patient was a 31-year-old man from the Romani population who was treated during three episodes of RPON, with III nerve palsy during one episode and with alternating VI nerve palsy during two episodes. All examination were normal except serum lipid levels and Cytomegalovirus immunoglobulin G (CMV IgG), Toxoplasma gondii IgG, Epstein-Barr virus (EVB) IgG and Varicella zoster IgG which were elevated. The second patient was a 82-year-old male patient with two RPON e pisodes w ith a lternating V I n erve p alsy. A ll examinations were normal, except Herpes simplex type 1 virus IgG, CMV IgG, Toxoplasma gondii IgG, EBV IgG and Varicella zoster IgG which were elevated, and his brain magnetic resonance imaging (MRI) showed lacunar ischemic lesions. Both patients were started on corticosteroid. Recovery was completed after all five episodes of RPON. Conclusion. There are no data on the frequency of RPON among the Romani population. The presentation of R PON in the oldest age is rare. R PON should be considered as a diagnostic option in these minorities. New case reports or systematic review articles about RPON are necessary to create a new insight into the nature of the disease. [ABSTRACT FROM AUTHOR] |
| Abstract (Bosnian): |
Uvod. Aktuelni dijagnostički kriterijumi za rekurentnu bolnu oftalmoplegičnu neuropatiju (RPON) su najmanje dva ataka jednostrane glavobolje, udružene sa ipsilateralnom parezom jednog, dva ili sva tri kranijalna nerva (III, IV ili VI). Do sada nije prikazan slučaj RPON u populaciji Roma. Najstariji bolesnik sa RPON, prikazan u literaturi, imao je 74 godine. Prikaz bolesnika. Prvi bolesnik je bio 31- godišnji muškarac romske nacionalnosti koji je lečen tokom tri e pizode R PON, s a p arezom I II kranijalnog nerva u tokom jedne epizode i VI kranijalnog nerva na različitim stranama, u t oku d ruge d ve e pizode. S va i spitivanja su bila uredna, osim povišenih vrednosti lipida u serumu i imunoglobulina G (IgG) na citomegalovirus (CMV IgG), IgG na toksoplazmu gondi, IgG na Epstein-Barr virus (EVB) i IgG na Varicela zoster virus. Drugi bolesnik je bio 82-godišnji muškarac sa dve epizode RPON i zahvećenim VI kranijalnim nervom na različitim stranama. Sva ispitivanja su bila uredna, osim povišenih vrednosti IgG na Herpes simplex virus tip 1, CMV IgG, IgG na toksoplazmu gondi, EBV IgG i IgG na Varicela zoster virus i lakunarnih ishemijskih lezija koje je imao na snimku magnetne rezonance (MR) mozga. Oba bolesnika su lečena kortikosteroidnom terapijom. Oporavak je bio kompletan nakon svih pet epizoda RPON. Zaključak. Ne postoje podaci o učestalosti RPON među pripadnicima romske nacionanosti. Pojava RPON u najstarijem životnom dobu je veoma retka. RPON bi trebalo imati u vidu kao jednu od dijagnostičkih opcija kod ovih grupa bolesnika. Novi prikazi bolesnika ili revijalni radovi o RPON su neophodni da bi se razjasnila priroda same bolesti. [ABSTRACT FROM AUTHOR] |
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