Cervicogenic exophthalmos: Possible etiology and pathogenesis

作     者：Chi-Ming Wu Hung-En Liao Shang-Wei Hsu Shou-Jen Lan 

作者机构：Orthopaedic DepartmentJen-Ai HospitalTaichung 40041Taiwan Orthopaedic DepartmentNational Defense Medical CenterTaipei 11465Taiwan Department of Healthcare AdministrationAsia UniversityTaichung 41354Taiwan Department of Medical ResearchChina Medical University HospitalChina Medical UniversityTaichung 40447Taiwan 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2020年第8卷第2期

页      面：318-324页

核心收录：

学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学] 

主　　题：Exophthalmos Reflex sympathetic dystrophy Anterior cervical discectomy and fixation PEEK cage Cervicogenic exophthalmos Cervicogenic spondylosis Case report 

摘      要：BACKGROUND Unilateral exophthalmos is often caused by inflammation, neoplasm, infection,metabolic disease, vascular disorder and several other less common *** sympathetic dystrophy related to unilateral exophthalmos has not been reported in the past *** SUMMARY We describe a 45-year-old female with unilateral exophthalmos caused by reflex sympathetic dystrophy and its unexpected spontaneous disappearance after a standard anterior cervical discectomy and fixation operation with two PEEK interbody cages and a plate. To our surprise, the patient’s left unilateral exophthalmos improved spontaneously in the morning on postoperative day 2-with no relapse, without any further medication, as of seven years. We have named this condition cervicogenic exophthalmos.CONCLUSION We would inform other clinicians that unilateral exophthalmos was caused not only by inflammation, vascular disorder, infection, neoplasm, or metabolic disease, but also by reflex sympathetic dystrophy related with cervicogenic spondylosis. To the best of our knowledge, ours is the first related case report and use of the term cervicogenic exophthalmos after reviewing previous literature.