【继发性三叉神经痛的外科治疗】。

Q3 Medicine

Zhurnal Nevrologii I Psikhiatrii Imeni S S Korsakova Pub Date : 2024-01-01 DOI:10.17116/jnevro2024124111203

V M Dzhafarov, E N Rozhnova, V V Gosteva, S A Mamykina, S A Melchenko, A I Volkov, O V Boyko, I V Senko

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引用次数: 0

摘要

目的：对继发性三叉神经痛的外科治疗进行病例系列分析。材料与方法：分析2021年以来8例手术治疗的继发性三叉神经痛患者的治疗情况。回顾所有记录、神经影像学档案和随访观察。结果：伴有多发性硬化症的三叉神经痛5例；伴有神经结节病（n=1）；伴肿瘤（n=1）；伴有未明确的退行性疾病（n=1）。平均年龄61岁（48 ~ 73岁），平均病程7.2年（5 ~ 13岁）。射频消融（RF） 4例，球囊压缩3例，肿瘤切除1例。术后三叉神经痛减轻7例，部分减轻1例。一例射频术后神经结节病患者出现感觉不良、干眼等并发症。平均随访10个月（1 ~ 29）。2例患者出现疼痛复发，其中1例两次手术。结论：手术治疗继发性三叉神经痛有助于缓解疼痛。

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[Surgical treatment of secondary trigeminal neuralgia].

Objective: To present a case series analysis of surgical treatment of patients with secondary trigeminal neuralgia.

Material and methods: The treatment of 8 patients with secondary trigeminal neuralgia who underwent surgery since 2021 was analyzed. All records, neuroimaging archive, and follow-up observations were reviewed.

Results: There were 5 patients with trigeminal neuralgia associated with multiple sclerosis; with neurosarcoidosis (n=1); with tumor (n=1); with unspecified degenerative disease (n=1). The mean age was 61 years (from 48 to 73), the mean duration of disease was 7.2 years (from 5 to 13). Radiofrequency ablation (RF) was performed in 4 cases, balloon compression in 3 cases, tumor removal in 1 case. Relief of trigeminal neuralgia after surgery was observed in 7 patients, partial reduction in 1 patient. A complication was noted in a patient with neurosarcoidosis after RF with the appearance of dysesthesia, dry eye. The mean follow-up was 10 months (1 to 29). Pain recurrence occurred in 2 patients, one of them underwent the surgery twice.

Conclusion: Surgical treatment of patients with secondary trigeminal neuralgia contributes to pain relief.

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来源期刊

Zhurnal Nevrologii I Psikhiatrii Imeni S S Korsakova 医学-精神病学

CiteScore

1.10

自引率

0.00%

发文量

287

审稿时长

3-6 weeks

期刊介绍： Одно из старейших медицинских изданий России, основанное в 1901 году. Создание журнала связано с именами выдающихся деятелей отечественной медицины, вошедших в историю мировой психиатрии и неврологии, – С.С. Корсакова и А.Я. Кожевникова. Широкий диапазон предлагаемых журналом материалов и разнообразие форм их представления привлекают внимание научных работников и врачей, опытных и начинающих медиков, причем не только неврологов и психиатров, но и специалистов смежных областей медицины.