长茎突综合征罕见,老年人长茎突综合征更罕见。作者遇见1例,生前一直未能确诊,现报告如下。女患,62岁。从1976年开始经常出现头痛、眩晕、恶心、呕吐和心前区压榨性疼痛。周期性出现步态蹒跚、姿势不稳、眼睑和手指震颤。有时还出现失音、咽喉部干燥感和咳嗽。从1980年初开始出现颈部疼痛、转头时加重;第1～4颈椎有压痛,有时颈部活动受限;右拇指和食指疼痛和蚁走感。曾先后误诊为缺血性心脏病、心绞痛、神经循环衰弱征、颈肌 Long styloid process syndrome rare, elderly patients with styloid process more rare. The author met one case, has been unable to confirm the lifetime, are as follows. Female patient, 62 years old. Headache, dizziness, nausea, vomiting and presacral pain often start in 1976. Periodically staggered gait, postural instability, eyelid and finger tremor. Sometimes aphonia, throat dryness and cough also occur. Beginning in early 1980, neck pain began to aggravate when turned around; first to 4 cervical tenderness, sometimes limited neck activity; right thumb and index finger pain and ants feel away. Has been misdiagnosed as ischemic heart disease, angina, weakness of the neural circulation, cervical muscle