Karlov V A, Tebloev I K, Savitskaia O N, Grinberg L M, Megdiatov R S
Zh Nevropatol Psikhiatr Im S S Korsakova. 1979;79(4):416-20.
The paper is concerned with the results of a clinical electrophysiological, biochemical, histochemical, X-ray and morphological study of 289 patients with different vegetovascular and trophical disturbances, mainly of a regional character, in the facial area. Some clinical aspects and questions of the pathogenesis of these disturbances are discussed which are not sufficiently reflected in the literature. It is suggested that the form of the pterygopalatine ganglion is related to the incidence of the pathological process and the traits of vegetative and pain phenomena, accompanying the Sluder syndrome. Vegetovascular changes were revealed in the skin of the face and enzymatic changes in mucous membrane of the nose on the homolateral to the paresis side of the face in lesions of the facial nerve. Specific vegetative trophical changes were also found in a progressive hemiatrophy of the face, Barrakera-Simons disease, in the syndrome of facial hemistrophy due to lesions of the different vegetative and somatic structures of the nervous system.
本文关注的是对289例面部出现不同植物血管性和营养性障碍（主要为局部性）患者的临床电生理、生化、组织化学、X射线及形态学研究结果。文中讨论了这些障碍的一些临床方面及发病机制问题，而这些在文献中并未得到充分反映。研究表明，翼腭神经节的形态与病理过程的发生率以及伴随斯路德综合征的自主神经和疼痛现象特征有关。在面神经损伤时，患侧面部皮肤出现植物血管变化，同侧鼻黏膜出现酶变化。在面部进行性半侧萎缩、巴雷克拉 - 西蒙斯病以及由于神经系统不同自主神经和躯体结构损伤导致的面部半侧萎缩综合征中，也发现了特定的自主营养性变化。
