患者男性,62岁。因阵发性舌咽部疼痛2周,持续加重2日,于1993年8月15日由外院转入我院神经内科。患者自8月2日起无诱因感到咽部阵发性疼痛并放射至双侧颞部及头顶部,吞咽时加重,在基层医院按“急性咽炎”给予氨苄青霉素(6g/日)和病毒唑(400mg/日)静脉滴注及其它对症治疗效果不佳,疼痛时间由每次5～6分钟延长至20～30分钟,每日发作6～7次。8月12日转到上一级医院做 Male patient, 62 years old. Due to paroxysmal glossopharyngeal pain for 2 weeks, continued to increase on the 2nd, on August 15, 1993 from the outer hospital into our hospital neurology. Patients with paroxysmal pain pharyngeal and radiation to the bilateral temporal and head top of the head since August 2, aggravating swallowing, according to the “acute pharyngitis” given ampicillin (6g / day) and ribavirin (400mg / day) intravenous infusion and other symptomatic treatment ineffective, pain time from 5 to 6 minutes each extended to 20 to 30 minutes, 6 to 7 times a day attack. August 12 go to a higher level hospital