Objective
To detect the clinical manifestations, diagnos is and treatment of painful
ophthalmoplegia syndrome.
Methods
The data of onset, clinical m anifestations, laboratory examination, imaging and
treatment from 12 patients with painful ophthalmoplegia, hospitalized from Mar,
2000 to Aug. 2005, were retro spectively analyzed.
Results
Multiple characters and extents of the headache were found in these 12 patients.
The involved cranial nerves included the Ⅲ,Ⅳ, V1-2 and Ⅵ, especially the cranial
nerve Ⅲ(83.3%). Several simultaneously in volved cranial nerves were frequently found (75%). Diseases which could cause hea dache along with ophthalmoplegia
must be excluded before the diagnosis of the painful ophthalmoplegia syndrome was established. The examination of imaging was important for the diagnosis of
painful ophthalmoplegia syndrome. Patients were sensitively responsive to
cortico-steoid therapy. The cure rate was 75%.
Conclusion
The features of clinical manifestations, imaging results and the patients response to cortico-steoid therapy accorded with the etiology of nonspecific inflammation granuloma. Cortico-steoid therapy is effective after the definitude of the disease.
(Chin J Ocul Fundus Dis, 2006,22:385-386)
