Tomografia computerizzata dell'orbita nell'oftalmopatia di Graves. Nuove osservazioni.

Translated title of the contribution: Computerized tomography of the orbit in Graves' ophthalmopathy. New observations

P. Bagnolesi, A. Cilotti, C. Campassi, Riccardo Lencioni, V. Napoli, C. Bartolozzi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

In order to evaluate Graves' ophthalmopathy new CT parameters have been introduced such as: the diameters of the five extraocular muscles, the value of their addition, the grade of apical crowding, the enlargement of optic nerve sheaths and of the superior ophthalmic vein, and the anterior displacement of the lacrimal gland. On this subject we report our further experience after reviewing 68 cases in which the new ocular parameters were correlated with altered ocular motility and optic neuropathy. The results confirmed our previous study, dealing with several groups of patients, which at the moment seem to be 2, instead of 3 groups: a) patients with increase in both muscular and fatty tissue (54/68 cases); b) patients with main or exclusive increase in fatty tissue (14/68 cases). Relevant clinical signs were present only in the first group of patients, where the medial, inferior and superior muscles were affected in 53/55, 53/55 and 50/55 cases respectively. A muscle increase by nearly 50% was more frequently found in cases with altered ocular motility, an increase by 90% was often associated with optic neuropathy. In case of optic neuropathy apical crowding was often observed, mainly in coronal scans, together with significant enlargement of the optic nerve sheath and of the superior ophthalmic vein. As to proptosis, preseptal area and anterior displacement of the lacrimal gland, they demonstrated lower correlation with the reference symptoms, even though their occurrence was high in symptomatic patients.

Original languageItalian
Pages (from-to)569-575
Number of pages7
JournalRadiologia Medica
Volume83
Issue number5
StatePublished - May 1992
Externally publishedYes

Fingerprint

Graves Ophthalmopathy
Orbit
Optic Nerve Diseases
Tomography
Lacrimal Apparatus
Optic Nerve
Adipose Tissue
Oculomotor Muscles
Veins
Muscles
Exophthalmos

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Bagnolesi, P., Cilotti, A., Campassi, C., Lencioni, R., Napoli, V., & Bartolozzi, C. (1992). Tomografia computerizzata dell'orbita nell'oftalmopatia di Graves. Nuove osservazioni. Radiologia Medica, 83(5), 569-575.

Tomografia computerizzata dell'orbita nell'oftalmopatia di Graves. Nuove osservazioni. / Bagnolesi, P.; Cilotti, A.; Campassi, C.; Lencioni, Riccardo; Napoli, V.; Bartolozzi, C.

In: Radiologia Medica, Vol. 83, No. 5, 05.1992, p. 569-575.

Research output: Contribution to journalArticle

Bagnolesi, P, Cilotti, A, Campassi, C, Lencioni, R, Napoli, V & Bartolozzi, C 1992, 'Tomografia computerizzata dell'orbita nell'oftalmopatia di Graves. Nuove osservazioni.', Radiologia Medica, vol. 83, no. 5, pp. 569-575.
Bagnolesi P, Cilotti A, Campassi C, Lencioni R, Napoli V, Bartolozzi C. Tomografia computerizzata dell'orbita nell'oftalmopatia di Graves. Nuove osservazioni. Radiologia Medica. 1992 May;83(5):569-575.
Bagnolesi, P. ; Cilotti, A. ; Campassi, C. ; Lencioni, Riccardo ; Napoli, V. ; Bartolozzi, C. / Tomografia computerizzata dell'orbita nell'oftalmopatia di Graves. Nuove osservazioni. In: Radiologia Medica. 1992 ; Vol. 83, No. 5. pp. 569-575.
@article{1d98793a484b48f8ae9c2129695d1c01,
title = "Tomografia computerizzata dell'orbita nell'oftalmopatia di Graves. Nuove osservazioni.",
abstract = "In order to evaluate Graves' ophthalmopathy new CT parameters have been introduced such as: the diameters of the five extraocular muscles, the value of their addition, the grade of apical crowding, the enlargement of optic nerve sheaths and of the superior ophthalmic vein, and the anterior displacement of the lacrimal gland. On this subject we report our further experience after reviewing 68 cases in which the new ocular parameters were correlated with altered ocular motility and optic neuropathy. The results confirmed our previous study, dealing with several groups of patients, which at the moment seem to be 2, instead of 3 groups: a) patients with increase in both muscular and fatty tissue (54/68 cases); b) patients with main or exclusive increase in fatty tissue (14/68 cases). Relevant clinical signs were present only in the first group of patients, where the medial, inferior and superior muscles were affected in 53/55, 53/55 and 50/55 cases respectively. A muscle increase by nearly 50{\%} was more frequently found in cases with altered ocular motility, an increase by 90{\%} was often associated with optic neuropathy. In case of optic neuropathy apical crowding was often observed, mainly in coronal scans, together with significant enlargement of the optic nerve sheath and of the superior ophthalmic vein. As to proptosis, preseptal area and anterior displacement of the lacrimal gland, they demonstrated lower correlation with the reference symptoms, even though their occurrence was high in symptomatic patients.",
author = "P. Bagnolesi and A. Cilotti and C. Campassi and Riccardo Lencioni and V. Napoli and C. Bartolozzi",
year = "1992",
month = "5",
language = "Italian",
volume = "83",
pages = "569--575",
journal = "Radiologia Medica",
issn = "0033-8362",
publisher = "Springer-Verlag Italia",
number = "5",

}

TY - JOUR

T1 - Tomografia computerizzata dell'orbita nell'oftalmopatia di Graves. Nuove osservazioni.

AU - Bagnolesi, P.

AU - Cilotti, A.

AU - Campassi, C.

AU - Lencioni, Riccardo

AU - Napoli, V.

AU - Bartolozzi, C.

PY - 1992/5

Y1 - 1992/5

N2 - In order to evaluate Graves' ophthalmopathy new CT parameters have been introduced such as: the diameters of the five extraocular muscles, the value of their addition, the grade of apical crowding, the enlargement of optic nerve sheaths and of the superior ophthalmic vein, and the anterior displacement of the lacrimal gland. On this subject we report our further experience after reviewing 68 cases in which the new ocular parameters were correlated with altered ocular motility and optic neuropathy. The results confirmed our previous study, dealing with several groups of patients, which at the moment seem to be 2, instead of 3 groups: a) patients with increase in both muscular and fatty tissue (54/68 cases); b) patients with main or exclusive increase in fatty tissue (14/68 cases). Relevant clinical signs were present only in the first group of patients, where the medial, inferior and superior muscles were affected in 53/55, 53/55 and 50/55 cases respectively. A muscle increase by nearly 50% was more frequently found in cases with altered ocular motility, an increase by 90% was often associated with optic neuropathy. In case of optic neuropathy apical crowding was often observed, mainly in coronal scans, together with significant enlargement of the optic nerve sheath and of the superior ophthalmic vein. As to proptosis, preseptal area and anterior displacement of the lacrimal gland, they demonstrated lower correlation with the reference symptoms, even though their occurrence was high in symptomatic patients.

AB - In order to evaluate Graves' ophthalmopathy new CT parameters have been introduced such as: the diameters of the five extraocular muscles, the value of their addition, the grade of apical crowding, the enlargement of optic nerve sheaths and of the superior ophthalmic vein, and the anterior displacement of the lacrimal gland. On this subject we report our further experience after reviewing 68 cases in which the new ocular parameters were correlated with altered ocular motility and optic neuropathy. The results confirmed our previous study, dealing with several groups of patients, which at the moment seem to be 2, instead of 3 groups: a) patients with increase in both muscular and fatty tissue (54/68 cases); b) patients with main or exclusive increase in fatty tissue (14/68 cases). Relevant clinical signs were present only in the first group of patients, where the medial, inferior and superior muscles were affected in 53/55, 53/55 and 50/55 cases respectively. A muscle increase by nearly 50% was more frequently found in cases with altered ocular motility, an increase by 90% was often associated with optic neuropathy. In case of optic neuropathy apical crowding was often observed, mainly in coronal scans, together with significant enlargement of the optic nerve sheath and of the superior ophthalmic vein. As to proptosis, preseptal area and anterior displacement of the lacrimal gland, they demonstrated lower correlation with the reference symptoms, even though their occurrence was high in symptomatic patients.

UR - http://www.scopus.com/inward/record.url?scp=0026859883&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026859883&partnerID=8YFLogxK

M3 - Article

C2 - 1631331

AN - SCOPUS:0026859883

VL - 83

SP - 569

EP - 575

JO - Radiologia Medica

JF - Radiologia Medica

SN - 0033-8362

IS - 5

ER -