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我院于近10年来共见到疼痛性眼肌麻痹综合征(Tolosa-Hunt氏综合征)6例,为引起眼科及神经科工作者注意,特报道如下: 一、临床资料(表) 以例1为例其诊治经过如下: 男,29岁,工人,196b年4月突感前额部持续性疼痛,轻度复视,一月后自行缓解。1965年11月症状又出现,视物成双。视力:右1.2,左1.5。右上睑下垂,右眼球向内上下方活动受限,瞳孔等大,光反应存在。右三叉神经第一支感觉减退,角膜反射迟钝。眼底正常,腰穿压力160毫米水柱,细胞0个/立方毫米,蛋白40毫克％,华康氏反应阴性。1965年11月29日颈动脉造影正常。服泼尼松10毫克日三次,青毒素40万单位日二次肌注,症状明
Our hospital in the past 10 years to see a total of 6 cases of painful ophthalmoplegia syndrome (Tolosa-Hunt’s syndrome), in order to attract the attention of ophthalmic and neurological workers, especially reported as follows: First, the clinical data (table) 1 as an example of its diagnosis and treatment are as follows: Male, 29 years old, worker, 196b in April Suddenly the Ministry of Forehead pain, mild diplopia, self-remission after January. In 1965 November symptoms again, depending on the material in pairs. Eyesight: Right 1.2, left 1.5. Right upper eyelid ptosis, the upper right eyeball inward and downward movement limited, pupils and other large, light reaction exists. Right trigeminal nerve first feeling diminished, corneal reflex slow. Fundus normal, lumbar pressure 160 mm water column, cells 0 / mm3, protein 40 mg%, Huakang’s reaction negative. Carotid artery angiography was normal on November 29, 1965. Prednisone 10 mg three times a day, 400,000 units of green toxins second intramuscular injection, the symptoms clear