托洛萨-亨特综合征

Q4 Medicine
N. A. Kayleva, A. A. Kulesh, N. L. Starikova, Yuliya V. Karakulova, A. R. Galimshin
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引用次数: 0

摘要

本文描述了一个托洛萨-亨特综合征(Tolosa-Hunt Syndrome,THS)的临床病例,并简要回顾了相关文献。该临床病例有三个特点,但在文献中并未引起足够重视:1)在THS典型发作前数年出现眼眶外反复疼痛,同时伴有上睑下垂,但无复视;2)对标准剂量糖皮质激素的临床反应不充分且不稳定,使用甲基强的松龙脉冲治疗后再口服强的松龙的疗效很好;3) 从出现头痛到出现眼球运动障碍的时间间隔比国际头痛分类(ICHD-3)所要求的时间间隔要长。这一临床观察结果拓展了人们对 THS 临床表现和治疗的理解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tolosa–Hunt syndrome
A description of a clinical case of Tolosa–Hunt syndrome (THS) and a brief review of the literature are presented. The described clinical case is characterized by three features that have not received sufficient attention in the literature: 1) the presence of recurrent pain outside the orbit in combination with ptosis without diplopia several years before the development of a typical episode of THS; 2) insufficient and unstable clinical response to standard doses of glucocorticoids with high efficiency of pulse therapy with methylprednisolone followed by oral administration of prednisolone; 3) a longer than required according to the international classification of headaches (ICHD-3) time interval between the development of cephalalgia and the appearance of oculomotor disorders. This clinical observation expands the understanding of the clinical picture and treatment of THS.
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来源期刊
Russian Neurological Journal
Russian Neurological Journal Medicine-Neurology (clinical)
CiteScore
0.40
自引率
0.00%
发文量
49
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