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Focal myositis of the neck with idiopathic orbital myositis

Published online by Cambridge University Press:  08 March 2006

G. Dhanasekar ,
M. S. Rajan ,
B. Nirmal Kumar  and
S. D. Watson
G. Dhanasekar
Affiliation:
Department of Otolaryngology, Royal Albert Edward Infirmary, Wigan, UK.
M. S. Rajan
Affiliation:
Department of Otolaryngology, Royal Albert Edward Infirmary, Wigan, UK.
B. Nirmal Kumar
Affiliation:
Department of Otolaryngology, Royal Albert Edward Infirmary, Wigan, UK.
S. D. Watson
Affiliation:
Department of Radiology, Royal Albert Edward Infirmary, Wigan, UK.
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Abstract

Focal myositis (of Heffner) in the right trapezius and paraspinal muscles accompanied by a pseudotumour of the left orbit has not been reported previously. The clinical, pathological and radiological features of these unusual benign pseudotumours of the head and neck are discussed. Computerized tomography (CT) scan of the neck and orbital ultrasound were suggestive of an inflammatory process without an abscess formation. This was followed by fine needle aspiration cytology (FNAC), which confirmed the diagnosis. The patient was treated with intravenous steroids and antibiotics, that led to complete resolution of symptoms, and there was no recurrence at six months follow-up. This report highlights the importance of imaging in inflammatory neck swellings.

Keywords

MyositisNeckOrbit
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 116 , Issue 4 , April 2002 , pp. 314 - 316
Copyright
© Royal Society of Medicine Press Limited 2002

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