痛性眼肌麻痹综合征的临床特点分析

目的进一步提高痛性眼肌麻痹综合诊断确诊率和疗效。方法对临床确诊的40例痛性眼肌麻痹综合征患者的起病情况,颅神经受损的表现及辅助检查结果进行分析。结果本组患者主要表现以眼病为主的多颅神经损害的症侯群,脑脊液及神经影像学检查可有异常发现。结论头痛或单一眼肌麻痹的患者应作相应的鉴别诊断,减少误诊、漏诊的关键在于建立正确的诊断思维。

Analysis on clinical character of painful ophthalmoplegia

OBJECTIVE To improve the diagnosis and treatment of painful ophthalmoplegia syndrome. METHODS Forty cases with painful ophthalmoplegia syndrome diagnosed clinically were collected and their modes of onset,the involvement of the cranial nerves and the results of the special examinations were analysed. RESULTS The main manifestations were syndrome of multiple cranial nerves impairment for this group of patients. Cerebrospinal fluid and neural imaging examinations might be abnormal. CONCLUSIONS Differential diagnosis must be done for the patients with headache or single ophthalmoplegia. Building up correct diagnostic course is the key to reduce an erroneous or losable diagnosis.