Millard-Gubler Sendromlu bir olguda şaşılık ve okuloplasti cerrahisi

Derya Özkan; Osman Bulut Ocak; Hilal Zeynep Ceylan; Birsen Gökyiğit; Muhittin Taşkapılı

doi:10.19161/etd.1037770

EN TR

Strabismus and oculoplastic surgery in a case with Millard-Gubler Syndrome

Abstract

Millard-Gubler Syndrome (MGS) progresses with contralateral hemiparesis or hemiplegia accompanying peripheral palsies of 6th and 7th cranial nerves. Although the etiology varies according to age, pons damage is prominent. Treatment and prognosis mainly depend on etiology. An 18-year-old male patient applied to our clinic with the complaint of crossing in the right eye, Millard-Gubler Syndrome was considered but the etiology could not determine. Operations were performed to the patient due to strabismus and lagophthalmos, as a result orthophoria was provided and lagophthalmos was corrected. It should be kept in mind that may mask ocular findings of the disease if surgical interventions to be performed on patients without the knowledge of the neurology clinic, with a multidisciplinary approach, conservative treatment, including neurological rehabilitation should be administered.

Keywords

Millard-Gubler Sendromlu bir olguda şaşılık ve okuloplasti cerrahisi

Öz

Millard-Gubler Sendromu (MGS), 6. ve 7. kraniyal sinir periferik felcine eşlik eden vücut karşı tarafında hemiparezi ya da hemipleji ile seyreder. Etiyolojide yaşa göre değişkenlik görülmekle birlikte pons hasarı ön plandadır. Tedavi ve prognoz esas olarak etiyolojiye bağlıdır. Kliniğimize sağ gözde içe kayma şikayetiyle başvuran 18 yaşındaki erkek hastada Millard-Gubler Sendromu düşünülmüş, ancak etiyoloji belirlenememiştir. Hastaya şaşılık ve lagoftalmus nedeniyle operasyonlar uygulanmış, sonuç olarak ortofori sağlanmış ve lagoftalmus düzeltilmiştir. Hastalara nöroloji kliniğinin bilgisi dışında yapılacak cerrahi müdahalelerin, hastalığın oküler bulgularını maskeleyebileceği unutulmamalı, multidisipliner yaklaşımla, nörolojik rehabilitasyonu da içeren konservatif tedavi uygulanmalıdır.

Anahtar Kelimeler

References

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Details

Primary Language

Turkish

Subjects

Health Care Administration

Journal Section

Case Report

Authors

Derya Özkan ^*
0000-0003-3742-1514
Türkiye

Osman Bulut Ocak
0000-0002-8154-6771
Türkiye

Hilal Zeynep Ceylan
0000-0003-3123-6625
Türkiye

Birsen Gökyiğit
0000-0002-4154-4106
Türkiye

Muhittin Taşkapılı
0000-0002-3089-7782
Türkiye

Publication Date

December 22, 2021

Submission Date

August 4, 2020

Acceptance Date

April 2, 2021

Published in Issue

Year 2021 Volume: 60 Number: 4

DOI

https://doi.org/10.19161/etd.1037770

IZ

https://izlik.org/JA92RX79ZD

Cite

RIS / Bibtex

Vancouver

1.Derya Özkan, Osman Bulut Ocak, Hilal Zeynep Ceylan, Birsen Gökyiğit, Muhittin Taşkapılı. Millard-Gubler Sendromlu bir olguda şaşılık ve okuloplasti cerrahisi. EJM. 2021 Dec. 1;60(4):418-22. doi:10.19161/etd.1037770