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Tolusa-Hunt 综合征(单称 THS)的特征为单侧眶周剧烈疼痛或偏头痛,伴同侧交感神经麻痹,眼运动神经(Ⅲ、Ⅳ、Ⅵ)麻痹;有时伴有三叉神经眼支和上颌支分布区的感觉消失,并累及视神经。罕见累及面神经和三叉神经下颌支者。作者报道了1例16岁男孩,3岁半时开始出现剧烈的右眼球后疼痛,右限睑下垂及眼球外斜,瞳孔扩大,视力下降。这种症状持续了6个月后自然缓解。但一年之后,症状再次出现并伴有上呼吸道感染;用激素治疗后,症状缓解,随后,这种剧烈的疼痛性右眼肌麻痹反复发作,视力逐渐下降,6岁时右眼
Tolusa-Hunt syndrome (THS alone) is characterized by severe peri-orbital pain or migraine with paralysis of the ipsilateral sympathetic nerve and paralysis of the ocular motor nerve (III, IV, VI); sometimes with trigeminal nerve branches and maxillary Branch of the feeling of disappeared, and involving the optic nerve. Rarely involved facial and trigeminal mandibular branch. The authors reported a 16-year-old boy who developed severe pain at his right eye and became drooping at the right upper extremity at 3 and a half years later. His dilated pupils dilated and visual acuity decreased. This symptom lasted 6 months after the natural relief. However, one year later, the symptoms appeared again with upper respiratory tract infection. After treatment with hormones, the symptoms were relieved. Subsequently, the severe painful right eye muscle paralysis was recurrent and the visual acuity gradually decreased. At the age of 6,