An anomalous muscular band between the superior and inferior rectus muscles in a patient with recurrent painful ophthalmoplegic neuropathy: A case report.

Karn S Dhillon, Nitin Venugopal, Jalal B Andre, Raghu C Mudumbai, Pattana Wangaryattawanich

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Article in Radiology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors.

Karn S DhillonUniversity of Washington School of Medicine, Seattle, WA 98195, USA.

Nitin VenugopalDepartment of Radiology, University of Washington, Seattle, WA, USA.

Jalal B AndreDivision of Neuroradiology, Department of Radiology, University of Washington, Seattle, WA, USA.

Raghu C MudumbaiDepartment of Ophthalmology, University of Washington, Seattle, WA, USA.

Pattana WangaryattawanichDivision of Neuroradiology, Department of Radiology, University of Washington, Seattle, WA, USA.

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No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The extraocular muscles are integral to voluntary and reflexive eye movements, enabling precise gaze control through the coordinated action of six muscles. Variants in extraocular muscle anatomy, though rare, may contribute to disorders of ocular movement. We report a case of a 20-year-old female presenting with recurrent painful ophthalmoplegic neuropathy found to possess a rare anomalous muscular band between the superior and inferior rectus muscles identified on magnetic resonance imaging of the orbits. This report seeks to expand the limited literature on anomalous bands of the orbit by presenting the first radiological imaging-based characterization of this variant, highlighting the need for radiologists and clinicians interpreting orbital magnetic resonance imaging to remain vigilant in identifying atypical orbital soft tissue anatomy and its potential role in visual or eye movement pathologies.

Indexed as

Muscular bandMuscular slipOrbitRecurrent painful ophthalmoplegic neuropathy

Identifiers

PMID40895002

DOI10.1016/j.radcr.2025.07.059

PMCPMC12390926

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