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目的探讨疼痛性眼肌麻痹的临床特征和治疗效果。方法综合国内外文献和本文１０例病人的临床表现，应用皮质类固醇药物治疗。结果随访３月至６年。９例４８ｈ～７２ｈ治愈，１例遗留视神经萎缩。４例复发２次１例复发３次，复发间隔时间数月至数年。结论疼痛性眼肌麻痹应以眼球后持续性疼痛并向前额和颞部放射；第３脑神经或合并第４、６脑神经麻痹及第５脑神经１、２支麻痹；角膜和前额部皮肤知觉异常；皮质类固醇药物治疗效果明显作为诊断依据。
Objective To investigate the clinical features and therapeutic effects of painful ophthalmoplegia. Methods Based on the domestic and foreign literatures and the clinical manifestations of 10 cases in this paper, the patients were treated with corticosteroids. Results were followed up for 3 months to 6 years. 9 cases 48h ~ 72h cure, 1 case of left optic atrophy. 4 cases of recurrence 2 times 1 case of recurrence 3 times, the recurrence interval of several months to several years. Conclusion Painful ophthalmoplegia should be sustained pain after the eye and to the frontal and temporal radiation; the third cranial nerve or merger 4, 6 cranial nerve paralysis and the first 5 cerebral nerve 1,2 paralysis; corneal and forehead skin Perception abnormalities; corticosteroid drug treatment is obvious as a diagnostic basis.