本文22例以眼运动神经综合征为唯一或主要表现的病人中,18例开始均被疑为鼻咽癌而进行包括多次鼻咽钳取活检在内的各种检查,最终表明系颅神经炎、颈内动脉瘤、颅内肿瘤、外伤等其他疾病;4例开始曾诊断为颅底动脉瘤或鞍区肿瘤,最后证实为鼻咽癌。因此,对这类病人应广开思路,进行仔细的诊断和鉴别诊断。 Of the 22 patients with ocular motor neuron syndrome as the only or major manifestation, 18 cases were initially suspected of nasopharyngeal carcinoma and performed various examinations including multiple nasopharyngeal clamp biopsy, and finally showed cranial neuritis. , Internal carotid artery aneurysms, intracranial tumors, trauma and other diseases; 4 cases had been diagnosed as skull base aneurysm or saddle area tumors, and finally confirmed as nasopharyngeal carcinoma. Therefore, these patients should be broadly open minded, careful diagnosis and differential diagnosis.