CT-guided radiofrequency ablation of facial and mandibular nerves in the treatment of compound Meige's syndrome.

IF 2.4 3区医学 Q2 CLINICAL NEUROLOGY

Neuroradiology Pub Date : 2024-10-01 Epub Date: 2024-06-07 DOI:10.1007/s00234-024-03392-1

Hao Huang, Bing Huang, Xindan Du, Huidan Lin, Xue Li, Xian Zhao, Qinghe Zhou, Ming Yao

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Abstract

This retrospective study examined the clinical outcomes and complications in 6 cases of compound Meige's syndrome, presenting with blepharospasm and masticatory muscle spasm, following treatment with CT-guided radiofrequency ablation targeting bilateral facial nerves and mandibular branches of the trigeminal nerve. After the operation, the symptoms of eyelid spasm and masticatory muscle spasm resolved, but mild facial paralysis and numbness of mandibular nerve innervation persisted. Follow-up for 4-28 months showed that the symptoms of facial paralysis resolved within 2-5 (3.17 ± 0.94) months after the operation, whereas the numbness in the mandibular region persisted, accompanied by a decrease in masticatory function. During the follow-up period, none of the 6 patients experienced a recurrence of Meige's syndrome. These findings suggest that CT-guided radiofrequency ablation of the bilateral facial nerve and mandibular branches of the trigeminal nerve may offer a promising approach to treating compound Meige's syndrome.

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在 CT 引导下射频消融面神经和下颌神经以治疗复合梅杰综合征。

这项回顾性研究探讨了6例复合梅杰综合征患者的临床疗效和并发症，这些患者在接受CT引导下针对双侧面神经和三叉神经下颌支的射频消融术治疗后，出现了眼睑痉挛和咀嚼肌痉挛。术后，眼睑痉挛和咀嚼肌痉挛症状缓解，但轻度面瘫和下颌神经支配麻木症状持续存在。4-28 个月的随访显示，面瘫症状在术后 2-5 个月（3.17 ± 0.94）内缓解，而下颌区域麻木持续存在，并伴有咀嚼功能下降。在随访期间，6 名患者均未再出现梅杰综合征。这些研究结果表明，CT 引导下的双侧面神经和三叉神经下颌支射频消融术可能是治疗复合型梅杰综合征的一种很有前景的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neuroradiology 医学-核医学

CiteScore

5.30

自引率

3.60%

发文量

214

审稿时长

4-8 weeks

期刊介绍： Neuroradiology aims to provide state-of-the-art medical and scientific information in the fields of Neuroradiology, Neurosciences, Neurology, Psychiatry, Neurosurgery, and related medical specialities. Neuroradiology as the official Journal of the European Society of Neuroradiology receives submissions from all parts of the world and publishes peer-reviewed original research, comprehensive reviews, educational papers, opinion papers, and short reports on exceptional clinical observations and new technical developments in the field of Neuroimaging and Neurointervention. The journal has subsections for Diagnostic and Interventional Neuroradiology, Advanced Neuroimaging, Paediatric Neuroradiology, Head-Neck-ENT Radiology, Spine Neuroradiology, and for submissions from Japan. Neuroradiology aims to provide new knowledge about and insights into the function and pathology of the human nervous system that may help to better diagnose and treat nervous system diseases. Neuroradiology is a member of the Committee on Publication Ethics (COPE) and follows the COPE core practices. Neuroradiology prefers articles that are free of bias, self-critical regarding limitations, transparent and clear in describing study participants, methods, and statistics, and short in presenting results. Before peer-review all submissions are automatically checked by iThenticate to assess for potential overlap in prior publication.