CAJ | 학술논문

目的探讨Meige综合征的临床特点、诊断、误诊原因及治疗. 方法对广州市第一人民医院脑系外科收治的9例误诊的Meige综合征患者的临床特点、误诊原因及治疗进行回顾性分析.结果 Meige综合征典型表现为阵发性双侧眼睑痉挛,伴或不伴有双侧口颌部及其他部位肌肉不随意、对称性、不规则阵发性收缩,临床上易被误诊为重症肌无力、面肌痉挛、神经官能症和迟发性运动障碍等,误诊的原因主要是对本病认识不足.本组9例患者经治疗后症状均有明显改善.结论虽然Meige综合征临床特点较明显,但发病早期易误诊,要注意和其他疾病鉴别.
목적 탐토Meige종합정적림상특점、진단、오진원인급치료. 방법 대엄주시제일인민의원뇌계외과수치적9례오진적Meige종합정환자적림상특점、오진원인급치료진행회고성분석.결과 Meige종합정전형표현위진발성쌍측안검경련,반혹불반유쌍측구합부급기타부위기육불수의、대칭성、불규칙진발성수축,림상상역피오진위중증기무력、면기경련、신경관능증화지발성운동장애등,오진적원인주요시대본병인식불족.본조9례환자경치료후증상균유명현개선.결론 수연Meige종합정림상특점교명현,단발병조기역오진,요주의화기타질병감별.
Objective To investigate the clinical characteristics, diagnosis, misdiagnosis and treatment of Meige syndrome. Methods The clinical characteristics,misdiagnosis and treatment of 9 patients with Meige syndrome were reviewed retrospectively. Results The typical characteristics of Meige syndrome were bilateral paroxysmal blepharospasm with or without bilateral oromandibular and other parts' abnormal movements that were paroxysmal and symmetrical. Patients with Meige syndrome were usually misdiagnosed as having myasthenia gravis, hemifacial spasm, neurosis or tardive dyskinesia. Not having enough knowledge about Meige syndrome was the main reason for misdiagnosis. And all the patients got improvements after the treatment. Conclusion The clinical features of Meige syndrome are typical, but misdiagnosis can often be made in the early stage of Meige syndrome, thus,special attention should be paid on the differential diagnosis of Meige syndrome.