摘要
目的探讨Tolosa-Hunt综合征(THS)的病因、临床表现、影像学特征、治疗及预后,进一步加深对这种疾病的认识,从而提高该病的诊治水平。方法对16例THS患者的临床资料进行回顾性研究,并结合文献进行分析。结果 16例患者多为急性或亚急性起病,均以头痛伴颅神经损害体征为主,多数为Ⅲ、Ⅳ、Ⅵ颅神经同时受损;影像学检查6例显示海绵窦区病变,早期激素联合抗生素治疗效果明显。结论 THS的病因为海绵窭区非特异性炎症可能性大,相关的影像学检查对诊断有一定的价值,确诊有赖于病理检查,激素治疗需个体化。
Objective To study the etiological factor,clinical manifestation,imaging feature,treatment and prognosis of Tolosa - Hunt syndrome （ THS）. Methods The clinical date of 16 cases were studied combining with document analysis. Results Most of 16 patients with acute or subacute onsetted, all of them were signs with headache and III, IV, VI cranial nerves damaged together; Six cases of imaging showed the cavernous sinus area were lesion; Early hormone with antibiotic therapy effect is obvious. Conclusion The etiological factor of THS was because of the cavernous sinus area nonspecific inflammation possibility, related the imaging had certain value to diagnosis, diagnosis depends on pathology, hormone therapy was to individual.
出处
《中国医学创新》
CAS
2010年第17期49-50,共2页
Medical Innovation of China
关键词
痛性眼肌麻痹
非特异性炎症
影像学
激素
Painful ophthalmoplegia syndrome
Nonspecitic inflammation
Imaging
Hormone
