Hannerz J
Department of Neurology, Karolinska Hospital, Stockholm, Sweden.
Cephalalgia. 1988 Mar;8(1):25-30. doi: 10.1046/j.1468-2982.1988.0801025.x.
In an earlier study patients with symptoms of orbital venous vasculitis--that is, cases of characteristic orbital pain and pathologic orbital phlebograms--were found to have increased signs of cerebral atrophy compared with age-matched controls. One such patient with nine incidents of Tolosa-Hunt syndrome and advanced cerebral atrophy is reported, and his medical history and pathoanatomic studies are reported in detail. The cause of the atrophy was multiple small infarctions, which are suggested to be due to vasculitis. Other findings in this case support the hypothesis that the Tolosa-Hunt syndrome may be only one manifestation of a generalized vasculitis.
在一项早期研究中,发现患有眶静脉血管炎症状的患者——即具有典型眼眶疼痛和病理性眼眶静脉造影的病例——与年龄匹配的对照组相比,脑萎缩迹象有所增加。本文报告了一名患有9次托洛萨-亨特综合征且伴有晚期脑萎缩的患者,并详细介绍了他的病史和病理解剖学研究。萎缩的原因是多发性小梗死,推测是由血管炎引起的。该病例的其他发现支持了托洛萨-亨特综合征可能只是全身性血管炎的一种表现这一假说。