论文部分内容阅读
一侧性舌咽、迷走、副神经麻痹称为颈静脉孔综合征或Vernet综合征,可有多种原因,作者报告一例由带状疱疹所致的Vernet综合征。 患者47岁,男性,于1993年6月17日黄昏出现咽痛及左颞部疼痛,次日后又相继出现左耳后疼痛、吞咽困难、声音嘶哑、向右后方转头及左肩上抬困难。22日检查:内科系统无异常所见,左耳廊红肿有水泡。神经系统见有声音嘶哑,吞咽困难,悬雍垂偏左,左软腭麻痹,左斜方肌和左胸锁乳突肌肌力轻度减弱。实验室检查:血沉、血、尿及血液生化常规化验正常,血清带状疱疹病毒抗体价IgG逐渐升高。脑脊液高压180mmH_2O,细胞数40/mm~3(均为单核细胞),蛋白44mg/dl,糖45mg/dl,带状疱疹病毒抗体价IgG升高。 本例是由带状疱疹所致呈现颈静脉孔综合征,
Side of the glossopharyngeal, vagal, paralyzed paralysis known as jugular foramen syndrome or Vernet syndrome for a variety of reasons, the authors report a case of Vernet syndrome caused by shingles. The patient, 47 years old, male, had sore throat and left temporo-temporal pain at twilight on June 17, 1993 and had pain in his left ear after the next day. He had difficulty swallowing, hoarseness, turning to the right back and raising his left shoulder. Check on the 22nd: no abnormal medical system seen inflamed left ear blisters. Nervous system see a hoarse voice, difficulty swallowing, left uvula left, left soft palate paralysis, left trapezius muscle and left sternocleidomastoid muscle weakness. Laboratory tests: Erythrocyte sedimentation rate, blood, urine and blood biochemical routine tests were normal, serum anti-herpes zoster virus IgG value gradually increased. Cerebrospinal fluid pressure 180mmH_2O, the number of cells 40 / mm ~ 3 (both monocytes), protein 44mg / dl, sugar 45mg / dl, herpes zoster virus antibody IgG increased. This case is caused by shingles jugular foramen syndrome,