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Infraorbital nerve swelling associated with autoimmune pancreatitis

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Abstract

Purpose

The aim of our study was to examine the relation between autoimmune pancreatitis (AIP) and infraorbital nerve swelling.

Materials and methods

A total of 11 AIP patients underwent magnetic resonance imaging (MRI) examination of the head and neck region. The infraorbital nerve thicknesses were measured on coronal images and compared with those of a control group. We also examined whether the infraorbital nerve thicknesses were altered from before to after steroid therapy in nine patients who underwent MRI examination after such therapy.

Results

The mean thicknesses were 3.8 ± 2.0 mm in the AIP group and 2.6 ± 0.5 mm in the control group (P < 0.05). The nerve thicknesses were >5 mm in 5 of 11 patients (45%) in the AIP group, and <5 mm in all of the control group. Among the nine patients who underwent MRI examination after steroid therapy, three had shown nerve swelling before steroid therapy; the therapy diminished the swelling in all three patients.

Conclusion

Infraorbital nerve swelling was observed more frequently in AIP patients than in patients without a history of AIP. Therefore, such swelling seems to be an extrapancreatic lesion of AIP.

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Authors and Affiliations

  1. Department of Radiology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621, Japan

    Tomoharu Watanabe, Yasunari Fujinaga, Satoshi Kawakami, Tomoko Hatta & Masumi Kadoya

  2. Second Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan

    Hideaki Hamano

  3. Center for Health, Safety, and Environmental Management, Shinshu University, Matsumoto, Japan

    Shigeyuki Kawa

Authors
  1. Tomoharu Watanabe
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  2. Yasunari Fujinaga
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  3. Satoshi Kawakami
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  4. Tomoko Hatta
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  5. Hideaki Hamano
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  6. Shigeyuki Kawa
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  7. Masumi Kadoya
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Correspondence to Tomoharu Watanabe.

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Watanabe, T., Fujinaga, Y., Kawakami, S. et al. Infraorbital nerve swelling associated with autoimmune pancreatitis. Jpn J Radiol 29, 194–201 (2011). https://doi.org/10.1007/s11604-010-0539-5

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  • DOI: https://doi.org/10.1007/s11604-010-0539-5

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