一、病历摘要患者,男性,52岁,因右颈部淋巴结肿痛于1993年12月30日在外院治疗,将链霉素0.5g静滴,1 h后出现剧烈右侧头痛,面部肿胀麻木感,右眼睑下垂伴头晕,耳鸣,行走不稳,无恶心,呕吐.查体:血压14/10kPa,神清,痛苦面容,无皮疹,右颌下可触及花生米大小淋巴结,质中,压痛阳性,右眼睑稍下垂,双瞳孔等国等大,鼻唇沟等深,面部痛觉无异常,双耳听力粗测正常.颈软,心肺腹部检查未见异常,双侧病理征未引出,郎伯氏征阳性,眼底检查未见异 First, the medical records summary, male, 52 years old, because of right cervical lymph node swelling in the hospital on December 30, 1993 treatment, streptomycin 0.5g intravenous infusion, 1 h after severe right headache, facial swelling numbness Sensation, right eyelid ptosis with dizziness, tinnitus, walking instability, no nausea, vomiting. Physical examination: blood pressure 14 / 10kPa, Shen Qing, painful face, no rash, petechial size can reach the right mandibular lymph nodes, Positive, right eyelid slightly drooping, double pupil and other countries such as large, nasolabial fold and other deep, facial pain no abnormalities, normal hearing of both ears normal. Neck soft, cardiopulmonary abdomen examination showed no abnormality, bilateral pathological signs did not lead to Lang Bo’s sign positive, fundus examination no difference