SLADERA SYNDROME (G. Sluder, amer. otorhinolaryngologist, 1865 — 1928; synonym: Slader's disease, neuralgia of a pterygopalatine node, ganglioneuritis of a pterygopalatine node) — the pathological process in a pterygopalatine node which is characterized by attacks of the front pains which are followed by vegetative manifestations. Sladerom is for the first time described in 1908.
Refer vospaldtelny processes in the main or trellised bosom to number of the most frequent reasons causing S.'s development by page, located in close proximity to a pterygopalatine node, tonsillitis, a dontogenous infection.
At S. pages of pain have paroxysmal character and are localized in an eye-socket, a nose, an upper jaw and teeth. Pains at the beginning of an attack unsharp, then gradually accrue, become sometimes intolerable, extend to language and the sky, the vrtsochny area, an ear and area behind a mastoid. Irradiation of pains in a nape, a shovel, a shoulder, a forearm and a brush is sometimes observed. Vegetative disturbances are expressed in a hyperemia of a conjunctiva, strengthened slezo-and hypersalivation, puffiness of a mucous membrane of a nose and a rhinorrhea; puffiness of a half of the face or its certain sites, napr, an upper eyelid is quite often observed. Attacks can be followed by short wind, nausea. At height of attacks are often noted a photophobia (cm-.) and vision disorders, spasms of the muscle lifting a soft palate, which are shown the clicking sound in an ear or depth of a throat Attacks begin spontaneously, most often at night. External irritations have no a znachediya in their emergence. Duration of attacks varies from several minutes to several days. The puffiness of the person or mucous membrane accompanying attacks usually right after the termination of an attack does not disappear, At nek-ry patients the persistent hypesthesia in the field of the sky, drinks, gingivas of an upper jaw, morbidity is observed during the pressing on an eyeglobe. Quite often painful points at an internal corner of an eye-socket, a root of a nose are defined. Paresis of the muscle lifting a soft palate is sometimes observed.
The village of the village should be differentiated with neuralgia trifacial (see), Sikar's syndrome (cm, Sikara syndrome ), Charlin's syndrome (see. Charlina syndrome ), migraine (see), temporal arteritis (see. Arteritis giant-cell ).
Treatment is directed to elimination of inflammatory process in a nasal cavity and his adnexal bosoms, almonds, teeth. Dynamic currents on area of a pterygopalatine node, anesthetics and sedatives apply a local diathermy, a di. This treatment is usually supplemented with courses of nasal novocainic blockade (see).
A radical method of treatment is direct destruction of a pterygopalatine node. It can be made by a puncture of the pterygopalatine channel from an oral cavity, but this way is technically difficult and burdensome for the patient. On simplicity, accuracy and efficiency the method of a direct puncture of a pterygopalatine node in a pterygopalatine pole with access from under a zygoma has undoubted advantages, at Krom make destruction of a node introduction to it of 96% of alcohol or 5% of solution of phenol in glycerin.
The village of the village usually has long hron. the current, badly gives in to conservative therapy. After radical treatment a recurrence is possible.
See also Prozopalgiya .
Bibliography: Davidenkov S. N. Clinical lectures on nervous diseases, century 1, page 146, L., 1952; Yerokhina L. G. Front pains, page 108, M., 1973; Eagle W. W. Sphenopalatine ganglion neuralgia, Arch. Otolaryng., v. 35, p. 66, 1942; Sluder G. The role of the sphenopalatine (or Meckel’s) ganglion in nasal headacher, N. Y. med. J., v. 87, p. 989, 1908; it, The syndrome of spheno-palatine-ganglion neurosis, Amer. J. med. Sci., v. 140, p. 868, 1910; Umbach W. Differentialdiagnose und Therapie der Ge-sichtsneuralgien, Stuttgart, 1960.
H. Ya. Vasin, L. P. Ruby.