Iwasaki Y, Kinoshita M
Fourth Department of Internal Medicine, Toho UNiversity Ohashi Hospital, Tokyo, Japan.
Jpn J Med. 1989 May-Jun;28(3):323-7. doi: 10.2169/internalmedicine1962.28.323.
A report on 8 patients with idiopathic multiple cranial neuropathy is presented. The syndrome consists of headache, facial pain and diplopia preceding the onset of cranial nerve palsy. The cranial nerves most frequently involved were the third, fifth and seventh. All patients were treated with corticosteroid therapy. The symptoms were self-limiting in their course and corticosteroid therapy appeared to hasten recovery of function. Only in a few cases a noticeable neurological deficiency remained. Differential diagnosis and etiological considerations are discussed.
本文报告了8例特发性多发性颅神经病变患者。该综合征包括在颅神经麻痹发作之前出现的头痛、面部疼痛和复视。最常受累的颅神经是第三、第五和第七颅神经。所有患者均接受了皮质类固醇治疗。症状在病程中呈自限性，皮质类固醇治疗似乎加速了功能恢复。仅在少数病例中残留明显的神经功能缺损。文中讨论了鉴别诊断和病因学方面的考虑。
