Pulsinelli W A, Rottenberg D A
J Neurol Neurosurg Psychiatry. 1977 Feb;40(2):192-5. doi: 10.1136/jnnp.40.2.192.
Painful tic convulsif is a syndrome restricted to paroxysmal dysfunction of the fifth and seventh cranial nerves. It occurs primarily in women over the age of 50 years and is usually associated with an ectatic vertebrobasilar artery--less frequently an arteriovenous malformation or cholesteatoma--which compresses the trigeminal and facial nerve roots in the posterior fossa. In rare instances this syndrome may be caused by disseminated sclerosis. Because of the high incidence of posterior fossa lesions in painful tic convulsif, a complete neurological evaluation including computerised transaxial tomography and vertebrobasilar angiography should be performed in every case.
痛性抽搐综合征是一种仅限于第五和第七颅神经阵发性功能障碍的综合征。它主要发生在50岁以上的女性中，通常与扩张的椎基底动脉有关，较少与动静脉畸形或胆脂瘤有关，这些病变会压迫后颅窝的三叉神经和面神经根。在罕见情况下，该综合征可能由播散性硬化症引起。由于痛性抽搐综合征中后颅窝病变的发生率较高，因此每例患者均应进行包括计算机断层扫描和椎基底动脉血管造影在内的全面神经学评估。
