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ToloSa—Hunt综合征又称痛性眼肌麻痹。国内自1979年高氏等首次报告后,文献记载已达80余例,可见并非十分少见。现将我院近4年中见到的9例报告如下。临床资料本组男6例,女3例;年岁24—69岁,平均44岁;病程1～5个月。右眼患者4例,左眼患者5例。9例均具眼痛,头痛5例,视神经(Ⅱ)受损2例,动眼神经(Ⅲ)及滑车神经(Ⅳ)损害8例,三叉神经(V_1)损害2例,外展神经(Ⅵ)受损1例,眼球前突1例。均用强的松或地塞米松治疗,临床痊愈。随访1年半到3年均无复发。讨论 ToloSa—Hunt综合征为ToloSa首先报告并提出了诊断标准:(1) 眼痛发生于肌麻痹后,多为非搏动性持续性剧痛(gnawing)或钻痛(boring)。(2) 除侵犯动眼神经外,可有滑车、三叉、外展、视
ToloSa-Hunt syndrome, also known as painful ophthalmoplegia. Since the first report of Gao et al. In 1979 in China, the number of records has reached more than 80, showing that it is not very rare. Now in our hospital in the past 4 years to see the 9 cases are as follows. Clinical data The group of 6 males and 3 females; aged 24-69 years, mean 44 years; duration of 1 to 5 months. Right eye patients in 4 cases, left eye patients in 5 cases. All of the 9 cases had ocular pain, headache in 5 cases, optic nerve (Ⅱ) in 2 cases, oculomotor nerve (Ⅲ) and trochlear nerve (Ⅳ) in 8 cases, trigeminal nerve (V_1) in 2 cases, ) 1 case of damage, anterior protrusion in 1 case. Are treated with prednisone or dexamethasone, clinical recovery. Follow-up of 1 year and a half to 3 years without recurrence. Discussion ToloSa-Hunt syndrome is first reported by ToloSa and proposed diagnostic criteria: (1) Eye pain occurs after muscle paralysis, mostly non-beating continuous gnawing or boring. (2) In addition to violations of the oculomotor nerve, there may be a pulley, trigeminal, abduction, visual