疼痛性眼肌麻痹的临床特征及治疗

目的 探讨疼痛性眼肌麻痹的临床特征和治疗效果。方法 综合国内外文献和本文１０例病人的临床表现，应用皮质类固醇药物治疗。结果 随访３月至６年。９例４８ｈ～７２ｈ治愈，１例遗留视神经萎缩。４例复发２次１例复发３次，复发间隔时间数月至数年。结论疼痛性眼肌麻痹应以眼球后持续性疼痛并向前额和颞部放射；第３脑神经或合并第４、６脑神经麻痹及第５脑神经１、２支麻痹；角膜和前额部皮肤知觉异常；皮质类固醇药物治疗效果明显作为诊断依据。

Study on the clinical symptoms and the treatment of painful ophthalmoplegia

Objective To evaluate the clinical symptomsand the curative effect of painful ophthalmoplegia. Methods To treat with corticosteroid by the. reports of internal and international ocuments and the clinical characteristics of 10 patients. Results They were followed up for 3 months to 6 years. 9 cases were was cured in 48 or 72 hours,atrophy of the optic nerve was remained in 1 cases. 4 cases recurred twice, 1 cases recurred third. A reak of rcurrence was from months to years. Conclusion To diagnosis painful ophthalmoplegia according to continuous retro-ocular pain with radiating to the forehead and the temple ; Oculomotorius palsy or together with trochlearis,abducens palsy and ophthalmicus maxillaris palsy of the trigeminus, The sensitivity of the cornea and the foreheads skin was unusual and the effect was better by using corticosteroid.