患者,女,76岁,主因双颞区头痛20d伴下颌活动受限于2004-09-02入院。20d前患者出现双颞区头痛,为跳痛,阵发性加剧,伴恶心,无呕吐,1d后出现下颌活动受限,伴舌活动不利,影响进食,17d前下颌及舌活动恢复正常,但头痛无缓解,在多家医院就诊,诊断不明,服用止痛药效果不佳,入我院。既往 Patients, female, 76 years old, mainly due to bilateral temporal headache 20d with mandibular activity limited to 2004-09-02 admission. 20d before the onset of bilateral temporal region headache, as jump pain, paroxysmal aggravated, with nausea, no vomiting, 1d after the occurrence of mandibular movement is limited, with tongue activity adversely affect eating, mandibular and lingual activity returned to normal 17d, Headache without remission, treatment in many hospitals, diagnosis is unknown, taking painkillers ineffective, into our hospital. Past