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Tolosa—Hunt氏综合征,又称痛性眼肌麻痹,临床上较少见,现将我院近10年来门诊和病房收治的13例患者临床和随防观察的情况报告如下,并结合文献进行分析和讨论。临床资料本组13例,男6例,女7例。年龄17～64岁,40岁以上者10例(76.9％)。前驱症状:病前有上呼吸道感染或发热者4例(30.8％),无明显前驱症状者9例(69.2％)。首发症状:均为一侧头痛或眼眶痛。其中患侧额部及眼眶痛4例,仅有眼眶痛4例,仅有额部头痛3例,仅有颞部头痛2例。伴有恶心,呕吐6例。眼肌麻痹:本组病例均有不同程度眼肌麻痹,其中动眼、滑车神经全麻痹(包括瞳孔散大,光反射迟钝)8例;动眼、滑车神经麻痹
Tolosa-Hunt’s syndrome, also known as painful ophthalmoplegia, clinically rare, now in our hospital for nearly 10 years outpatient and ward admitted to 13 cases of clinical and observation with the prevention of the following reports, combined with the literature Analysis and discussion. Clinical data The group of 13 cases, 6 males and 7 females. Aged 17 to 64 years old, 40 years of age in 10 cases (76.9%). Prodromal symptoms: 4 cases (30.8%) had upper respiratory tract infection or fever, 9 cases (69.2%) had no obvious prodromal symptoms. First symptom: Both side headache or orbital pain. There were 4 cases of ipsilateral forehead and orbital pain, only 4 cases of orbital pain, only 3 cases of frontal headache, only 2 cases of temporal headache. With nausea, vomiting in 6 cases. Ocular paralysis: The group of patients with varying degrees of ophthalmoplegia, including moving eyes, trochlear nerve paralysis (including mydriasis, light reflex slow) in 8 cases; eye movements, trochlear nerve paralysis