Vincent D, Loron P, Awada A, Gautier J C
Rev Neurol (Paris). 1985;141(4):318-21.
A 53 year-old woman presented with 6 episodes of recurrent cranial nerve palsies over seven years, each episode lasting several weeks. She had three episodes of diplopia, one of difficulty with swallowing, a left facial paralysis and two episodes of trigeminal sensory neuropathy. Sjögren's syndrome was diagnosed when the patient developed dryness of the eyes and mouth, 7 years after the first episode. The diagnosis was proved by biopsy of the accessory salivary glands, the presence of a hypergammaglobulinaemia and anti-tissue antibodies.
一名53岁女性在7年中出现6次复发性颅神经麻痹,每次发作持续数周。她有3次复视发作、1次吞咽困难、1次左侧面部麻痹和2次三叉神经感觉神经病发作。在首次发作7年后,患者出现眼干和口干,诊断为干燥综合征。通过副唾液腺活检、高球蛋白血症和抗组织抗体的存在证实了诊断。