McGeeney Brian E, Barest Glenn, Grillone Gregory
Department of Neurology, Boston University School of Medicine, MA 02118, USA.
Headache. 2006 Mar;46(3):517-20. doi: 10.1111/j.1526-4610.2006.00386_2.x.
We report a case of complicated pansinusitis presenting with thunderclap headache. The patient quickly developed left ophthalmoplegia and imaging demonstrated extension of inflammation from the sphenoid sinus into the sellar region. Thunderclap headache is well known to occur from a variety of intracranial events, but complicated sinusitis presenting this way is seldom described. The patient recovered completely with appropriate treatment.
我们报告一例伴有霹雳样头痛的复杂性全鼻窦炎病例。患者迅速出现左侧眼肌麻痹,影像学检查显示炎症从蝶窦蔓延至鞍区。霹雳样头痛因多种颅内病变而众所周知,但以这种方式表现的复杂性鼻窦炎很少被描述。经适当治疗,患者完全康复。