伴有结膜充血流泪的短暂性单侧神经痛样头痛（short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing,SUNCT）是一种罕见的原发性头痛,1978年由Sjaastad等首先描述,在随后的10多年有了比较...伴有结膜充血流泪的短暂性单侧神经痛样头痛（short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing,SUNCT）是一种罕见的原发性头痛,1978年由Sjaastad等首先描述,在随后的10多年有了比较完整的描述^（[1-2]）,2006年Cohen等^（[3]）报道了最大的一组病例43例,是目前为止对该疾患最为详尽的描述。展开更多
Short-lasting unilateral neuralgiform headache attacks with conjunctival inje ction and tearing (SUNCT) is a rare type of primary headache. In this report we describe the occurrence of SUNCT in a family. Unfortunately...Short-lasting unilateral neuralgiform headache attacks with conjunctival inje ction and tearing (SUNCT) is a rare type of primary headache. In this report we describe the occurrence of SUNCT in a family. Unfortunately, one of the siblings was already dead. However, clear and detailed information from close relatives and her general practitioner confirmed the diagnosis of SUNCT. It is likely that genetic factors contribute to all types of trigeminal autonomic cephalalgias.展开更多
Objective measurements of duration of attacks have been performed in 8 (5 fema le and 3 male) patients suffering from primary first division (V-1) trigeminal neuralgia. The mean age of the patients was 67.5 ±11.4...Objective measurements of duration of attacks have been performed in 8 (5 fema le and 3 male) patients suffering from primary first division (V-1) trigeminal neuralgia. The mean age of the patients was 67.5 ±11.4 years, and the mean age at onset 64.0 ±9.7 years. During the study the patients were off treatment. A t otal of 192 attacks were witnessed by the authors and exactly timed by a stop-w atch. The duration of attacks ranged from 2 to 32 s, with a mean of 6.5 ±6.1 s. The unweighted mean was 8.8 ±5.7 s, with a range of 2.4-17.5 s. With the present data the duration of attacks of V-1 neuralgia has been exact ly determined, and the clinical distinction of V-1 neuralgia from other shortla sting headaches, particularly from SUNCT, has been substantially clarified.展开更多
Background: Seeing triple is a rare complaint, so anatomically unlikely that it is often considered a diagnostic symptom of hysteria. Objective: To evaluate the complaint of triple vision among a large group of neurol...Background: Seeing triple is a rare complaint, so anatomically unlikely that it is often considered a diagnostic symptom of hysteria. Objective: To evaluate the complaint of triple vision among a large group of neurological inpatients. Design: Personal case series during a 34- year period. Setting: Neurology and neurosurgery wards of the University of Southern California-Los Angeles County Medical Center. Patients: Thirteen patients who reported seeing objects in triplicate. Results: Eleven of 13 patients had ocular motor findings, including third nerve palsy in 5 patients, internuclear ophthalmoplegia in 4, and sixth nerve palsy in 2. Causes included brainstem infarction in 4 patients; ischemic mononeuropathy, trauma, surgery, and hysteria in 2 patients each; and tumor in 1 patient. Conclusion: Triplopia is a rare complaint that, in a neurology inpatient service, often represents an unusual interpretation of abnormal eye movements.展开更多
文摘伴有结膜充血流泪的短暂性单侧神经痛样头痛（short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing,SUNCT）是一种罕见的原发性头痛,1978年由Sjaastad等首先描述,在随后的10多年有了比较完整的描述^（[1-2]）,2006年Cohen等^（[3]）报道了最大的一组病例43例,是目前为止对该疾患最为详尽的描述。
文摘Short-lasting unilateral neuralgiform headache attacks with conjunctival inje ction and tearing (SUNCT) is a rare type of primary headache. In this report we describe the occurrence of SUNCT in a family. Unfortunately, one of the siblings was already dead. However, clear and detailed information from close relatives and her general practitioner confirmed the diagnosis of SUNCT. It is likely that genetic factors contribute to all types of trigeminal autonomic cephalalgias.
文摘Objective measurements of duration of attacks have been performed in 8 (5 fema le and 3 male) patients suffering from primary first division (V-1) trigeminal neuralgia. The mean age of the patients was 67.5 ±11.4 years, and the mean age at onset 64.0 ±9.7 years. During the study the patients were off treatment. A t otal of 192 attacks were witnessed by the authors and exactly timed by a stop-w atch. The duration of attacks ranged from 2 to 32 s, with a mean of 6.5 ±6.1 s. The unweighted mean was 8.8 ±5.7 s, with a range of 2.4-17.5 s. With the present data the duration of attacks of V-1 neuralgia has been exact ly determined, and the clinical distinction of V-1 neuralgia from other shortla sting headaches, particularly from SUNCT, has been substantially clarified.
文摘Background: Seeing triple is a rare complaint, so anatomically unlikely that it is often considered a diagnostic symptom of hysteria. Objective: To evaluate the complaint of triple vision among a large group of neurological inpatients. Design: Personal case series during a 34- year period. Setting: Neurology and neurosurgery wards of the University of Southern California-Los Angeles County Medical Center. Patients: Thirteen patients who reported seeing objects in triplicate. Results: Eleven of 13 patients had ocular motor findings, including third nerve palsy in 5 patients, internuclear ophthalmoplegia in 4, and sixth nerve palsy in 2. Causes included brainstem infarction in 4 patients; ischemic mononeuropathy, trauma, surgery, and hysteria in 2 patients each; and tumor in 1 patient. Conclusion: Triplopia is a rare complaint that, in a neurology inpatient service, often represents an unusual interpretation of abnormal eye movements.
