頭痛，顔面痛，多発性脳神経麻痺を呈した65歳女性

A 65-year-old Woman with Headache,Facial Pain,and Progressive Multiple Cranial Neuropathy

症例呈示

　症例　M．H．65歳，女性。

　主訴　頭痛，顔面痛，顔面感覚障害，顔面麻痺，両側聴力低下，味覚低下，嚥下障害。

We report a 65-year-old woman with progressive multiple cranial neuropathy. She had been suffered from bronchial asthma since 1979 for which pred-nisolone had been prescribed. She noted an onset of pain around her nose in October, 1989, which extended into the periorbital regions bilaterally. In February, 1990, she was treated with stellate gan-glion block and trigeminal nerve block; these treat-ments partially alleviated her pain. In May of 1991, she noted a difficulty in swallowing solid foods.