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疱疹后味觉性潮红和出汗。

Postherpetic gustatory flushing and sweating.

作者信息

Drummond P D, Boyce G M, Lance J W

出版信息

Ann Neurol. 1987 Jun;21(6):559-63. doi: 10.1002/ana.410210606.

DOI:10.1002/ana.410210606
PMID:3606044
Abstract

An 11-year-old girl who had suffered right facial herpes zoster at the age of 6 years was left with anesthetic scars in the distribution of the third division of the trigeminal nerve. Since then, certain tastes provoked flushing and sweating localized to the scarred areas, lasting for 10 to 15 minutes after a latency of a few seconds. The response was evoked most readily from the ipsilateral posterior section of the tongue and was virtually abolished by local administration of anesthesia to the tongue. It remained unaltered after blockade of the sphenopalatine and stellate ganglia but was diminished by blockade of the mandibular nerve. Thermoregulatory sweating and flushing were diminished in the scarred areas. Patchy destruction of sympathetic fibers, which are known to accompany peripheral trigeminal nerve branches, and reinnervation of the affected areas by parasympathetic fibers that normally mediate salivation may explain the phenomenon. It is thus analogous to the gustatory flushing and sweating that may follow damage to the auriculotemporal nerve in the region of the parotid gland (Frey's syndrome).

摘要

一名11岁女孩在6岁时患右侧面部带状疱疹,在三叉神经第三支分布区域留下了麻醉性瘢痕。从那时起,某些味觉会引发瘢痕区域的脸红和出汗,潜伏期为几秒,持续10至15分钟。这种反应最容易从同侧舌后部诱发,局部麻醉舌头后几乎完全消失。蝶腭神经节和星状神经节阻滞对此反应无影响,但下颌神经阻滞可使其减弱。瘢痕区域的体温调节性出汗和脸红减少。已知伴随周围三叉神经分支的交感神经纤维的片状破坏,以及通常介导唾液分泌的副交感神经纤维对受影响区域的重新支配,可能解释了这一现象。因此,它类似于腮腺区域耳颞神经损伤后可能出现的味觉性脸红和出汗(弗雷综合征)。

相似文献

1
Postherpetic gustatory flushing and sweating.疱疹后味觉性潮红和出汗。
Ann Neurol. 1987 Jun;21(6):559-63. doi: 10.1002/ana.410210606.
2
Localized facial flushing in infancy. Auriculotemporal nerve (Frey) syndrome.婴儿期局限性面部潮红。耳颞神经(弗雷)综合征。
Arch Dermatol. 1997 Sep;133(9):1143-5.
3
Frey's Syndrome After Herpes Zoster Virus Infection in a 2-Year-Old Girl.一名2岁女孩感染带状疱疹病毒后出现的耳颞神经综合征
Pediatr Dermatol. 2015 Jul-Aug;32(4):e184-5. doi: 10.1111/pde.12604. Epub 2015 May 4.
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Facial flushing in children: a variant of the auriculo-temporal syndrome.儿童面部潮红:耳颞综合征的一种变体。
J Indiana Dent Assoc. 1991 Jan-Feb;70(1):25-7.
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[Gustatory sweating following parotidectomy. Frey's syndrome].[腮腺切除术后味觉性出汗。弗雷综合征]
Laryngol Rhinol Otol (Stuttg). 1986 Mar;65(3):130-4.
6
[Frey's syndrome (gustatory sweating) after fracture of the temporomandibular joint].颞下颌关节骨折后出现的 Frey 综合征(味觉性出汗)
Laryngorhinootologie. 1991 Apr;70(4):196-8. doi: 10.1055/s-2007-998020.
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[Frey's sydrome secondary to an obstetrics trauma: Presntation of 2 cases and a review of the literature].[产科创伤继发的弗雷氏综合征:2例报告及文献复习]
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引用本文的文献

1
Frey syndrome following herpes zoster in an otherwise healthy girl.一名原本健康的女孩患带状疱疹后出现了耳颞神经综合征。
BMJ Case Rep. 2018 Jul 25;2018:bcr-2018-224548. doi: 10.1136/bcr-2018-224548.
2
Post Herpetic Frey's Syndrome.疱疹后弗雷综合征
Ann Maxillofac Surg. 2017 Jul-Dec;7(2):278-281. doi: 10.4103/ams.ams_86_17.
3
Frey syndrome in a patient with facial melanoma: auriculotemporal syndrome presenting with gustatory sweating following wide local excision, sentinel node biopsy, and superficial parotidectomy.
一名面部黑色素瘤患者的 Frey 综合征:在广泛局部切除、前哨淋巴结活检和腮腺浅叶切除术后出现味觉性出汗的耳颞综合征。
J Clin Aesthet Dermatol. 2012 Jul;5(7):48-52.
4
Frey syndrome in neurofibromatosis 1.1型神经纤维瘤病中的弗雷综合征
BMJ Case Rep. 2011 Mar 15;2011:bcr0920092286. doi: 10.1136/bcr.09.2009.2286.
5
[Frey's syndrome of the external auditory canal].
HNO. 2004 Oct;52(10):917-20. doi: 10.1007/s00106-003-1024-6.
6
Sweating and vascular responses in the face: normal regulation and dysfunction in migraine, cluster headache and harlequin syndrome.面部出汗与血管反应:偏头痛、丛集性头痛及丑角综合征中的正常调节与功能障碍
Clin Auton Res. 1994 Oct;4(5):273-85. doi: 10.1007/BF01827433.