摘要
目的:探讨Tolosa-Hunt综合征的临床表现、实验室及影像学检查及规范化诊断。方法:回顾总结19例住院的Tolosa-Hunt综合征患者临床特点,并结合文献进行分析。结果:19例患者多有头痛和眼外肌麻痹,累及动眼神经、滑车神经和外展神经.个别患者累及视神经、三叉神经和面神经,经脑脊液检查、头颅MRI、脑DSA等排除其他疾患,征得患者同意后采用大剂量激素治疗,临床有效。结论:出现痛性眼肌麻痹时,病因检查鉴别诊断最为重要,行头颅MR增强扫描、头颅DSA和长期密切随访有助于避免误诊。
Objective： To investigate the Tol osa-Hunt syndrome, clinical mare- festations, laboratory and imaging tests and standardization of diagnosis of the disease. Methods：Reviewing and suming up 19 cases of hospitalized patients with Tolosa-Hum syndrome, clinical features, combined with literature analysis. Results： 19 patients had more headaches and eye muscle paralysis, involving the oculomotor nerve, trochlear nerve and abducens nerve. Individual patient involving the optic nerve, the trigeminal nerve and facial nerve, through the cerebrospinal fluid examination, cranial MRI and cerebral DSA to exclude other disorders. Patients must consent to use high-dose hormone therapy, clinically effective. Conclusion： Appearing painful ophthalmoplegia, the cause of the most important differential diagnosis of checks, line head MR enhanced scans, the skull DSA and long-term close follow-up help to avoid misdiagnosis.
出处
《中国医药导刊》
2009年第12期2036-2037,共2页
Chinese Journal of Medicinal Guide
