痛性眼肌麻痹综合征5例临床分析

目的 :探讨痛性眼肌麻痹综合征 (TolosaHuntSyn drome)的临床特点。方法 :对 5例痛性眼肌麻痹综合征患者的临床资料进行分析。结果 :5例痛性眼肌麻痹综合征患者均符合诊断标准 ,对激素治疗效果佳 ,4例痊愈 ,1例并发化脓性脑膜炎。结论 :痛性眼肌麻痹病因多样 ,临床表现复杂 ,诊断时应慎重。头颅CT、MRI及动脉造影对其诊断有一定的价值。大部分患者对激素疗效好 ,但需警惕炎症播散

Clinical features of painful ophthalmoplegia syndrome

Objective:To study the clinical features of the painful ophthalmoplegia syndome(Tolosa Hunt Syndrome).Methods:A retrospective analysis on the clinical feature in 5 cases with painful ophthalmeplegia syndrome was carried out.Results:The 5 patients of the painful ophthalmoplegia syndrome were fit for the creteria of the diagnosis,sensitive to corticosteroid therapy. Four cases were cured,one case was complicated with purulent meningitis.Conclusion:The causes and clinical presentations of the painful ophthalmoplegia are complicated,we should pay attention to the diagnosis. The availability of computed tomographic scanning and magnetic resonance imaging,as well as angiography allow the physician to perform a sensitive neuroradiologic evaluation of the diagnosis of the syndrome. Many of the patients are well responsive to corticosteroid therapy. We should be caution to the spreading of the inflammatory.