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Report of a Familial Incidence

Iris Maurer, MD; Stephan Zierz, MD

Arch Neurol. 1999;56:1407-1409.

Background  In orbital myositis, painful diplopia develops owing to an enlargement of the extraocular muscles. Diagnosis is established based on history, clinical manifestations, and therapeutic response to steroids, with the findings of magnetic resonance imaging providing additional information.

Observation  We observed a family in which 4 members had an ophthalmopathy suggestive of orbital myositis. The affected members are a sibling pair (female and male) and 2 children of the brothers of their father's father.

Conclusion  The familial incidence suggests a potential genetic predisposition in the development of orbital myositis.

From the Departments of Neurology, Friedrich-Wilhelms-Universität, University of Bonn, Bonn (Dr Maurer), and Martin-Luther-Universität, University of Halle, Halle (Dr Zierz), Germany. Dr Maurer is now with the Psychiatrische Klinik, Universitätsklinik Jena, Jena, Germany.

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