Beckham Stephen, Kim Hyung, Truong Anh
Department of Emergency Medicine, Los Angeles County + University of Southern California (LAC+USC) Medical Center, Los Angeles, CA 90033, USA.
J Emerg Med. 2013 Feb;44(2):e231-4. doi: 10.1016/j.jemermed.2012.07.049. Epub 2012 Sep 13.
Painful ophthalmoplegia is an infrequent but very important presentation in the acute care setting and requires a thorough neurologic evaluation to determine its cause. This clinical sign has a large differential and generally indicates a serious cerebrovascular process.
We describe a patient with a subacute presentation of painful ophthalmoplegia, ultimately diagnosed as Tolosa-Hunt syndrome, a rare inflammatory process of the cavernous sinus.
This case highlights the importance for the Emergency Physician to quickly recognize painful ophthalmoplegia and rapidly elucidate the cause to prevent further complications for the patient.
疼痛性眼肌麻痹在急性护理环境中并不常见，但却是非常重要的临床表现，需要进行全面的神经系统评估以确定其病因。这一临床体征鉴别诊断范围广，通常提示严重的脑血管病变。
我们描述了一名患有亚急性疼痛性眼肌麻痹的患者，最终被诊断为托洛萨-亨特综合征，这是一种罕见的海绵窦炎症性疾病。
该病例强调了急诊医生快速识别疼痛性眼肌麻痹并迅速明确病因以防止患者出现进一步并发症的重要性。
