興味ある経過を示した上眼窩裂症候群の1例

SUPERIOR ORBITAL FISSURE SYNDROME A CASE REPORT

　Ⅰ．緒言

　上眼窩裂症候群とは1側の動眼神経（Ⅲ），滑車神経（Ⅳ），三叉神経第1枝および外転神経（Ⅵ）が侵されてくる疾患をいうのであるが、臨床的には眼球突出，眼球運動障害，眼瞼下垂，激しい眼痛を主症状とする。本症候群は眼科，脳神経科領域ではかなりの報告が見られるが，耳鼻科領域の報告はきわめて少ない。

　著者は興味ある経過を示した本症候群の1例を経験したのでその大要を述べ，発生原因について若干の考察を加えてみたのでここに諸賢のご批判を仰ぐ次第である。

　A case of polyneuritis cranialis is reported.

　A woman, aged 37, presented symptoms and signs of the paralysis of oculomotor, trochlear and external recurrent nerves with highly sensative trigeminal nerve. A diagnosis of superior orbital fissure syndrome was made.

　After one month following the abatement of the above symptoms the patient suffered a recurrence of her former complaints with added symptoms of dysphagia, hoarseness and nasal voice. The diagnosis of polyneuritis cranialis was made in the department of internal medicine.

　The patient was found to be suffering from chronic sinusitis. The author states that present complaints are more often found in patients who suffer chronic sinusitis than as not.