论文部分内容阅读
患者女,55岁。因左面部抽搐半年余,经多方治疗无效而就诊。体检:双眼视力5.1,左上睑抬举时出现张口,反射性瞬目时下颌向对侧偏斜,嘴角向左侧歪斜。初诊为反格恩氏综合征。经脉络宁注射液加入5％葡萄糖液500ml中静滴,每日一次,治疗5次后症状明显缓解,15次痊愈。 讨论:反格恩氏综合征又称瞬目一下颌现象或反型下颌瞬目现象。该综合征较为少见,多发生于偏瘫后数日或肌肉萎缩侧索硬化病人,系动眼神经核上性损伤致眼轮匝肌与外翼状肌的一种联合运动现象,表现为自发的不随意或反射性瞬目运动。现代医学以为,该综合征系局部营养神经血管受寒发
Female patient, 55 years old. Due to left side of the seizures more than six months, the multi-treatment ineffective treatment. Physical examination: binocular visual acuity 5.1, when the left upper eyelid lifting mouth, reflective instantaneous jaw tilt to the opposite side of the mouth to the left skew. Newly diagnosed as anti-Gern’s syndrome. Meridian Ning injection by adding 5% dextrose 500ml intravenous infusion once a day, 5 times after treatment, symptoms were significantly relieved, 15 times healed. Discussion: Anti-Gern’s syndrome, also known as blink jaw phenomenon or anti-jaw transient phenomenon. The syndrome is rare, occurred in a few days after hemiplegia or amyotrophic lateral sclerosis patients, department of oculomotor nerve injury caused by orbicularis oculi muscle and external patellofemoral joint movement phenomenon, manifested as spontaneous Free or reflective blink motion. Modern medicine believes that the syndrome is the local nutritional neurovascular hair cold