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颅神经炎是颅神经麻痹常见的病因之一,本文报告具有不同临床表现和病程的3例如下。例1,男,28岁,因复发性复视一年,于1978年7月首次住院,病始时有流涕、鼻塞等感冒症状,右眼胀痛,视物成双,咽稍充血,右眼外展不能,复视相右外直肌完全麻痹,脑脊液除蛋白51mg%略高外余正常。予氢化考的松治疗好转,于治疗后第54天复视基本消失。一个月后着凉又右侧头痛,右眼胀痛及复视,于同年10月再住院,复查脑脊液蛋白74mg%,经氢化考的松治疗,第12周复视完全消失,随诊4年无复发。
Cranial neuritis is one of the common causes of cranial nerve palsy. This article reports 3 cases with different clinical manifestations and course of disease as follows. Example 1, male, 28 years old, due to recurrent diplopia for one year, first hospitalized in July 1978, the beginning of the disease runny nose, nasal congestion and other symptoms of the cold, pain in the right eye, depending on the material in pairs, pharyngeal hyperemia, Right eye abduction can not, diplopia right external rectus muscle completely paralyzed, cerebrospinal fluid in addition to protein 51mg% slightly higher than normal. Hydrogenated test-cortisone treatment improved, in the first 54 days after treatment, diplopia disappeared. A month after the cold and right headache, right eye pain and diplopia, in October the same year and then hospitalized, review of cerebrospinal fluid protein 74mg%, hydrocortisone treatment, diplopia 12 weeks completely disappeared, followed up for 4 years without relapse.