Haldar Rudrashish, Gyanesh Prakhar, Srivastava Arun, Bettaswamy Guru Prasad
Department of Anesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Department of Neuroanesthesia, Global Hospital, Chennai, Tamil Nadu, India.
Asian J Neurosurg. 2017 Jan-Mar;12(1):116-119. doi: 10.4103/1793-5482.148795.
The superior orbital fissure syndrome (SOFS) is a rare condition presenting as painful unilateral opthalmoplegia, ptosis, pupillary dilatation and anesthesia of the upper eyelid and forehead. It has been described after facial trauma. Other etiologies include infections, tumors or spontaneous hemorrhages in the retro-orbital space. Occurrence of SOFS after surgery in the skull base has not been described before. We recently encountered a case where a young female developed SOFS following surgery for cerebrospinal fluid (CSF) rhinorrhea. The occurrence of SOFS was preceded by episodes of trigemino-cardiac reflex (TCR) during the surgery. This is the first case report associating TCR with SOFS. We managed the case report with megadose methylprednisolone and the patient showed improvement in the deficit over time.
眶上裂综合征（SOFS）是一种罕见病症，表现为单侧疼痛性眼肌麻痹、上睑下垂、瞳孔散大以及上睑和前额麻木。面部创伤后曾有过相关描述。其他病因包括感染、肿瘤或眶后间隙自发性出血。此前尚未有过颅底手术后发生眶上裂综合征的报道。我们最近遇到一例年轻女性，在进行脑脊液（CSF）鼻漏手术后出现了眶上裂综合征。在该综合征出现之前，手术过程中发生了三叉神经-心脏反射（TCR）。这是首例将三叉神经-心脏反射与眶上裂综合征相关联的病例报告。我们使用大剂量甲泼尼龙对该病例进行治疗，患者的缺损随时间推移有所改善。
