Tolosa-Hunt综合征临床分析

CLINICAL ANALYSIS OF TOLOSA-HUNT SYNDROME

Tolosa Hunt综合征是由海绵窦或眶上裂非特异性炎性肉芽肿引起的一种痛性眼肌麻痹。本文总结了 2 2例符合国际头痛协会标准的痛性眼肌麻痹综合征患者的临床特点 ,诊断与鉴别诊断 ,并结合病理对病因进行了探讨。认为病因为免疫反应性非特异性炎性肉芽肿 ,而血管改变继发于炎性浸润。

Tolosa-Hunt syndrome is one of painful opthalmoplegia induced by idiopathic inflammatory ganuloma in cavernous sinus or superior orbital fissure. We analysed the clinical feature, diagnosis and differential diagnosis of 22 patients with Tolosa-Hunt syndrome. The etiology of Tolosa-Hunt syndrome was discussed related with pathology. We suggested that the cause of this disease should be idiopathic inflammatory granuloma rather than vascular factor. The changes of blood vessel are secondary to inflammatory invasion.