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陈某,男,40岁。进食左眼泪增多5月余而于1990年11月27日入院。患者1990年3月25日因从4米高处坠落,当即昏迷,6小时后送来本院。体检时见左耳有淡红色血性漏出液。头颅CT:左侧颞顶枕区硬膜外血肿,量约20ml。行左侧颞枕开颅血肿清除术,术中见左颞骨线状骨折长约7cm。术后于4月12日出院。出院2个月后出现进食时左眼流泪。体检:除左侧轻度周围性面瘫外余无阳性体征。当进食时左眼即泪满盈眶。食前给服颠茄类药物泪液可减少。诊断为鳄鱼泪综合征。讨论鳄鱼泪综合征为进食时出现落泪的现象,亦称味泪反射或Bogorad氏综合征(1928),较少见。此征通常于Bell氏面瘫、颅骨骨折、带状疱疹后数周乃
Chen, male, 40 years old. Left tear increased consumption more than 5 months in November 27, 1990 admitted to hospital. The patient fell unconscious on 4 March 1990 after falling from a height of 4 meters and was sent to the hospital 6 hours later. See the left ear when there is pink bloody leaking liquid. Head CT: left temporal roof of the epidural hematoma, the amount of about 20ml. On the left side of the temporal pillow craniotomy hematoma, intraoperative see the left temporal bone linear fracture about 7cm. After discharge on April 12. Left eye after two months of discharge when eating tears. Physical examination: In addition to the left mild peripheral facial paralysis no positive external signs. The left eye is full of tears when eating. Pre-service belladonna drugs tear can be reduced. Diagnosis of crocodile tears syndrome. Discussion crocodile tears syndrome occurs when eating tear phenomenon, also known as the taste of tears reflex or Bogorad’s syndrome (1928), less common. This sign is usually Bell’s facial paralysis, skull fracture, weeks after shingles