20090921周围神经疾病.pptVIP

中国后循环缺血专家共识 概述 三叉神经解剖 临床表现 疼痛的性质 诱发因素及触发点 疼痛的分布 体征 鉴别诊断 1.继发性三叉神经痛：① 三叉神经麻痹体征②持续性③伴有其他颅神经麻痹 2.牙痛：①持续钝痛；②冷热加剧 3.副鼻窦炎：①持续钝痛；②局部压痛；③发热；④脓涕 4.舌咽神经痛: 扁桃腺、舌根、咽、耳道深部发作性剧痛，吞咽、讲话、哈欠、咳嗽可诱发。检查咽喉、舌根和扁桃体窝可有疼痛触发点。 5.蝶腭神经痛： 6.非典型面痛 7.颞颌关节病 A case An 38-year-old previously healthy woman experienced modest pain in her right ear. 1 day later, voice seemed to be louder than normal while she was talking on the phone. The next day, she noted that her right eye did not close and she could not smile on that side. Tearing was diminished in her right eye, and she could not taste thing