疼痛性眼肌麻痹于1954年首由Tolosa报告,亦称Tolosa—Hunt综合症、蝶裂综合症,是海绵窦及其窦壁慢性炎性肉芽肿所引起的一种特殊病症。炎症的原因还未确实,Mathaw提出可能分免疫系统缺陷有关,此一假设,为类固醇药物治疗所支持。其临床症状和眶尖综合症、眶上裂综合症、眶上裂炎差不多,但临床上各种检查,除海绵窦外均无明显的阳性体征。宋氏收集国外七篇资料,共报道30例,国内高氏等于1979年报道八例。笔者于1972年10月见到一例,其 Painful ophthalmoplegia, first reported in 1954 by Tolosa, also known as Tolosa-Hunt syndrome, is a special condition caused by the cavernous sinus and chronic sinusitis with sinus wall granulomatosis. The reason for the inflammation is not yet confirmed, Mathaw raised concerns about possible defects in the immune system, a hypothesis that is supported by steroid drug therapy. The clinical symptoms and orbital apex syndrome, superior orbital fissure syndrome, supraorbital fissure is similar, but a variety of clinical tests, except cavernous sinus were no obvious positive signs. Song collected seven foreign materials, a total of 30 cases reported, the domestic Gao equivalent to 1979 reported eight cases. I saw a case in October 1972, its