半面联合神经痛，三叉神经痛，次级神经痛，compresión血管三叉神经痛

IF 0.7 4区医学 Q4 NEUROSCIENCES

Neurocirugia Pub Date : 2025-01-01 DOI:10.1016/j.neucir.2024.07.004

Ernesto F. Ardisana Santana , Juan F. Villalonga-Penna , Mauro M. Suárez Marin , Alvaro Campero

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引用次数: 0

摘要

面肌痉挛合并三叉神经痛的病例并不常见。一个案例提出的目的是显示这种关联由于异常激活的三叉神经面部反射。55岁女性，左侧面肌痉挛8年病史，同侧V1和V2区域典型三叉神经痛。体格检查显示左半边脸痉挛，前额和上牙弓皮肤受到感觉刺激后又出现剧烈疼痛。核磁共振成像显示一根血管与？？左三叉神经。左乙状窦后入路。一、入口区域？？进入三叉神经，发现明显的血管冲突，用特氟龙将其分离。然后改变运动轨迹，进入面神经出口区，不识别血管冲突类型。病人表现出面肌痉挛和相关三叉神经痛的完全缓解。本病例的分析使我们得出结论，在面神经微血管减压时，如果直接近端压迫不明显，则必须考虑三叉面结构关系，因此有必要探索三叉神经。

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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Espasmo hemifacial asociado a neuralgia trigeminal secundario a compresión vascular trigeminal

The coincidence in a patient of Hemifacial Spasm and Trigeminal Neuralgia is not frequent. A case is presented with the objective of showing this association due to the abnormal activation of the Trigemino-Facial Reflex.

A 55-year-old woman with an 8-year history of left-sided hemifacial spasm and typical trigeminal pain in the ipsilateral V1 and V2 territory.

The physical examination shows spasms in the left hemiface, with reproduction of intense pain upon sensory stimulation of the skin on the forehead and upper dental arch.

The MRI showed a vessel in intimate contact with the entrance area of ??the left trigeminal nerve.

A left retrosigmoid approach was performed. First, the entrance area of ??the trigeminal nerve was accessed, finding a clear vascular conflict, which was isolated with Teflon. Then, the trajectory was changed and the exit zone of the facial nerve was accessed, and no type of vascular conflict was identified.

The patient presented complete resolution of the Hemifacial Spasm and the associated trigeminal pain.

The analysis of this case allows us to conclude that during microvascular decompression of the Facial Nerve, if frank proximal compression is not evident, the Trigeminofacial structural relationship must be taken into account, making it necessary to explore the Trigeminal Nerve.

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来源期刊

Neurocirugia 医学-神经科学

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

60 days

期刊介绍： Neurocirugía is the official Journal of the Spanish Society of Neurosurgery (SENEC). It is published every 2 months (6 issues per year). Neurocirugía will consider for publication, original clinical and experimental scientific works associated with neurosurgery and other related neurological sciences. All manuscripts are submitted for review by experts in the field (peer review) and are carried out anonymously (double blind). The Journal accepts works written in Spanish or English.