Lenzi G L, Fieschi C
Eur Neurol. 1977;16(1-6):23-30. doi: 10.1159/000114876.
Superior orbital fissure syndrome is a symptomatologic complex, consisting of retroorbital pain, paralysis of extraocular muscles, impairment of first trigeminal branches and frequent involvement of the optic nerve. From a review of 130 published cases including two personal observations, it appears that the clinical subdivisions and the several eponymic differentiations of this syndrome are unjustified on the basis of etiologic, therapeutic and prognostic elements. Only the presence--or absence--of optic signs may allow to hold the clinically useful distinction between the often 'benign' superior orbital fissure syndrome without optic nerve involvement, and the orbital apex syndrome where orbital exploration may be recommended. This review concludes that repeated neurosurgical and neuroradiologic investigations--with the exceptions of carotid angiography and orbital phlebography--can be avoided in such cases.
眶上裂综合征是一种症状复合体，包括眶后疼痛、眼外肌麻痹、三叉神经第一支功能障碍以及视神经常受累。通过回顾130例已发表病例（包括两例个人观察病例）发现，基于病因、治疗和预后因素，该综合征的临床细分以及几种以人名命名的鉴别并无依据。只有视神经体征的有无，才能在临床上有效区分常为“良性”的无视神经受累的眶上裂综合征，以及可能建议进行眼眶探查的眶尖综合征。本综述得出结论，在此类病例中，除了颈动脉血管造影和眼眶静脉造影外，可避免重复进行神经外科和神经放射学检查。
