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男,55岁,十天前突感左侧头痛及左眼胀痛伴左眼视力模糊和间断复视。疼痛呈阵发性,每天发作四～五次,每次半小时至三～四小时不等,服止痛药不能绶解。痛前也无先兆。一周后左眼较右眼突出,疼痛时左眼不能睁开.查体:双瞳等园等大,对光反射灵敏,结膜无充血水肿。左眼睑下垂不能睁开,左眼球突出度17mm。左眉弓明显压痛,左眼标准对数视力4.8(0.6),有复视。左眼球活动较差,不能向左外斜视,表现为左内直肌麻痹。化验;WBC4.6×10~9/L,ESR2mm/h。头颅CT,脑电图,脑血流图均正常,颈椎拍片无异常。眼底可见双视网膜动脉Ⅰ度硬化。入院后用青霉素480万单位放入生理
Male, 55 years old, ten days ago suddenly left headache and left eye pain with left eye vision blurred and intermittent diplopia. Pain was paroxysmal, episodes of four to five times a day, each half an hour to three to four hours ranging from clothing painkillers can not solution. No aura before pain. A week later, the left eye is more prominent than the right eye, left eye pain can not be opened .Check the body: double pupil and other large park, sensitive to light reflection, conjunctival congestion and edema. Left eyelid drooping can not open, left eyeball protrusion 17mm. Left eyebrow bowel tenderness, left eye standard logarithm visual acuity 4.8 (0.6), diplopia. Left eye activity is poor, can not be left exotropia, manifested as left rectus muscle paralysis. Laboratory; WBC4.6 × 10 ~ 9 / L, ESR2mm / h. Head CT, EEG, cerebral blood flow were normal, no abnormal cervical film. Double retinal artery visible retinal sclerosis Ⅰ degree. After admission with penicillin 4.8 million units into the physiology