Hotaling A J, Park A H, Chow J M
Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center, Maywood, IL 60153.
Int J Pediatr Otorhinolaryngol. 1994 Jul;30(1):63-70. doi: 10.1016/0165-5876(94)90052-3.
Sneezing or sternutation is usually the physiologic response to nasal irritation. The reflex follows a very complicated pathway requiring coordinated communication between the trigeminal and nervous terminalis afferent impulses as well as from glottic and inspiratory muscles in the efferent limb. When the reflex pathway is unbalanced, sneezing can increase in frequency and severity to the extent that some patients become disabled. We present the clinical examination, differential diagnosis, and treatment modalities for the case of an adolescent male who experienced debilitating intractable sneezing for more than one year. As for many of the patients described with this elusive diagnosis, our patient appears to have a functional etiology.
打喷嚏或打嚏通常是对鼻腔刺激的生理反应。该反射遵循一条非常复杂的路径，需要三叉神经与终神经之间传入冲动的协调沟通，以及传出支中声门和吸气肌之间的协调沟通。当反射路径失衡时，打喷嚏的频率和严重程度会增加，以至于一些患者会出现功能障碍。我们介绍了一名青少年男性患者的临床检查、鉴别诊断和治疗方式，该患者经历了一年多令人衰弱的顽固性打喷嚏。对于许多被描述为患有这种难以捉摸的诊断的患者来说，我们的患者似乎有功能性病因。
