orbital apex syndrome

上眼窩裂症候群

WordNet

1. the (usually elliptical) path described by one celestial body in its revolution about another; "he plotted the orbit of the moon" (同)celestial orbit
2. the path of an electron around the nucleus of an atom (同)electron orbit
3. any of various primates with short tails or no tail at all
4. imitate uncritically and in every aspect; "Her little brother apes her behavior"
5. the point on the celestial sphere toward which the sun and solar system appear to be moving relative to the fixed stars (同)solar apex, apex of the sun''s way
6. a pattern of symptoms indicative of some disease
7. a complex of concurrent things; "every word has a syndrome of meanings"
8. of or relating to the eye socket; "orbital scale"; "orbital arch"
9. of or relating to an orbit; "orbital revolution"; "orbital velocity"

PrepTutorEJDIC

1. (天体・人工衛星の)『軌道』;軌道の1周 / (活動・影響・知識の)範囲 / (軌道に沿って)…‘の'周りを回る / 〈人工衛星〉‘を'軌道に乗せる / 軌道に沿って回る,軌道に乗る
2. サル(monkey);(特に,チンパンジー・ゴリラなどの)尾なしザル,類人猿 / 人まねをする人 / …のまねをする,'を'まねる(mimic)
3. 頂上,頂点 / 《文》最高潮,絶頂
4. (疾患の徴候となる一群の)症徴候,症候群 / (事件・社会的状態などのパターンを示す)徴候形態
5. 軌道の

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/10/22 18:54:08」(JST)

wiki en

[Wiki en表示]

Orbital apex syndrome, also known as Jacod syndrome, is a collection of cranial nerve deficits associated with a mass lesion near the apex of the orbit of the eye. This syndrome is a separate entity from Rochon–Duvigneaud syndrome, which occurs due to a lesion immediately anterior to the orbital apex.

Characteristics

The most common finding is oculomotor nerve dysfunction leading to ophthalmoplegia. This is often accompanied by ophthalmic nerve dysfunction, leading to hypoesthesia of the upper face. The optic nerve may eventually be involved, with resulting visual impairment.

Causes

Jacod Syndrome is commonly associated with a tumor of the middle cranial fossa (near the apex of the orbit); but it can have several other causes.

Neoplastic causes

• Head and neck cancer
• Neural tumors
• Hematological cancer

Inflammatory causes

• Sarcoidosis
• Systemic lupus erythematosus
• Churg–Strauss syndrome
• Wegner's granulomatosis
• Giant cell arteritis
• Thyroid disease

Traumatic causes

• Iatrogenic (following surgery)
• Orbital apex fracture
• Penetrating injury

Vascular causes

• Carotid aneurysm

Diagnosis

Diagnostic methods vary, and are based on specific possible etiologies; however, an X-ray computed tomography scan of the face (or magnetic resonance imaging, or both) may be helpful.

References

1) Bailey, Byron J., and Jonas T. Johnson. Head and neck surgery – Otolaryngology. 4th ed. Philadelphia: Lippincott Wilkins and Williams, 2006, p. 2792.

2) Yeh, S.; Foroozan, R. (2004). "Orbital apex syndrome". Current opinion in ophthalmology 15 (6): 490–498. doi:10.1097/01.icu.0000144387.12739.9c. PMID 15523194. .

UpToDate Contents

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• 3. トロサハント症候群 tolosa hunt syndrome
• 4. 視神経症 optic neuropathies
• 5. 眼窩蜂巣炎 orbital cellulitis

English Journal

• Surgical decompression in endocrine orbitopathy. Visual evoked potential evaluation and effect on the optic nerve.

• Clauser LC, Tieghi R, Galie' M, Franco F, Carinci F.SourceUnit of Cranio Maxillo Facial Surgery, Center for Craniofacial Deformities & Orbital Surgery (Director and Chief: Luigi C. Clauser), St. Anna Hospital and University, Ferrara, Italy.
• Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.J Craniomaxillofac Surg.2012 Mar 16. [Epub ahead of print]
• Endocrine orbitopathy (EO) represents the most frequent and important extrathyroidal stigma of Graves disease. This chronic autoimmune condition involves the orbital contents, including extraocular muscles, periorbital connective-fatty tissue and lacrimal gland. The increase of fat tissue and the en
• PMID 22424910

• Orbital apex syndrome due to trigeminal perineural spread of sinonasal leprosy: a case report.

• El Beltagi AH, El-Nil H, Alrabiah L, El Shammari N.SourceDepartment of Radiology, Al-Sabah Zain ENT and Kuwait Cancer Center and Ibn-Sina Neurology Center, Kuwait.
• Clinical imaging.Clin Imaging.2012 Mar;36(2):142-5.
• Leprosy is a granulomatous disease primarily affecting the skin and peripheral nerves caused by Mycobacterium leprae, but also significantly involving sinonasal cavities and cranial nerves. It continues to be a significant public health problem, and despite multidrug therapy, it can still cause sign
• PMID 22370135

Japanese Journal

• 眼窩先端症候群を呈した非浸潤型副鼻腔アスペルギルス感染症の1例

• 田中 章浩,吉田 誠克,諫山 玲名 [他]
• 臨床神経学 51(3), 219-222, 2011-03
• NAID 40018750143

• 真菌性眼窩先端症候群との鑑別に苦慮した肥厚性硬膜炎の1例

• 鈴木 香,鈴木 幸彦,横井 由美子,宮川 靖博,目時 友美,山崎 仁志,中澤 満
• 日本眼科學会雜誌 114(8), 687-691, 2010-08-10
• NAID 10026601116

Related Links

• Orbital apex syndrome - Wikipedia, the free encyclopedia

Orbital apex syndrome, also known as Jacod syndrome, is a collection of cranial nerve deficits associated with a mass lesion near the apex of the orbit of the eye. This syndrome is a separate entity from Rochon–Duvigneaud syndrome, which ...

• Orbital apex syndrome.

PURPOSE OF REVIEW: Visual loss from optic neuropathy and ophthalmoplegia involving multiple cranial nerves are the hallmarks of an orbital apex syndrome. Historically, the terms superior orbital fissure, orbital apex, and cavernous sinus ...

Related Pictures

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★リンクテーブル★

リンク元	「上眼窩裂症候群」「眼窩先端部症候群」
関連記事	「orbit」「apex」「ape」「orbital」「syndrome」

「上眼窩裂症候群」

　　[★]

英

superior orbital fissure syndrome

同

orbital apex syndrome、間欠性有痛性眼筋麻痺 intermittent painful ophthalmoplegia、トロサ・ハント症候群 Tolosa-Hunt症候群 Tolosa-Hunt syndrome

関

上眼窩裂、動眼神経麻痺

[show details]

トローザ・ハント症候群 : 35 件
トローサ・ハント症候群 : 65 件
トロサ・ハント症候群 : 65 件
トロザ・ハント症候群 : 65 件

トローザ・ハント症候群 Tolosa : 18 件
トローサ・ハント症候群 Tolosa : 1 件
トロサ・ハント症候群 Tolosa : 24 件
トロザ・ハント症候群 Tolosa : 6 件

病因

• 海綿静脈洞部に形成される非特異的炎症性肉芽腫により近辺の構造物が障害される

上眼窩裂を通過する構造

• 血管

• 上眼静脈

• 神経

• 総腱輪の外

• 滑車神経 CN IV
• 涙腺神経 CN V1
• 前頭神経 CN V1

• 総腱輪の内

• 動眼神経 CN III
• 鼻毛様体神経 CN V1
• 外転神経 CN VI
• 交感神経

症状

• 眼痛
• 頭痛
• 脳神経障害(CN III, CN IV, CN V1, CN VI)

治療

• 副腎皮質コルチコイド

「眼窩先端部症候群」

　　[★]

英

orbital apex syndrome

ラ

syndromum apex orbitae

同

ロション・ドゥヴィニョー症候群 Rochon-Duvigneaud syndrome

関

上眼窩裂症候群、トロサ-ハント症候群。全眼筋麻痺

	動眼神経	滑車神経	外転神経	視神経	三叉神経第1枝	三叉神経第2枝	三叉神経第3枝	その他症状	原因
	CN III	CN IV	CN VI	CN II	CN V1	CN V2	CN V3
眼窩先端部症候群	○	○	○	○	○	○	○？
上眼窩裂症候群		○	○	○	○

「orbit」

　　[★]

• n.

• 眼窩。眼球孔。軌道。範囲、領域。電子軌道。

• vi.

• 軌道にのる

• vt.

• 軌道を回る、軌道に乗せる、～の周りを回る、～を周回する

　 　 　

「apex」

　　[★]

• n.

• (三角形・円錐形・山・葉などの)頂点、頂上、頂端、頂部。(肺・心臓などの)頂、尖。絶頂、極致
• 心尖部

　 　

「ape」

　　[★]

• n.

• 類人猿

関

anthropoid、hominid、Hominidae、homo、Homo sapiens、human、man、Pongidae

　 　 　

「orbital」

　　[★]

• adj.

• 軌道の、眼窩の、(物理)電子軌道、軌道関数

関

orbit、trajectory

　 　 　

「syndrome」

　　[★]

• n.

• 症候群