Y. Sterner, G. Toolanen, M. Knibestöl, B. Gerdle, C. Hildingsson
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引用次数: 47
摘要
三叉神经感觉障碍是常见的鞭打病例。病理生理机制尚不清楚。本研究的目的是前瞻性地研究三叉神经对温度和振动的敏感性,并评价它们与临床症状的关系。对43例颈部扭伤患者中的34例分别于伤后6周和71个月进行定量感觉测试。三叉神经皮肤区感觉障碍持续数年(r = 0.764)。P < 0.000)。在随访中,感觉障碍与中枢神经系统相关症状有显著相关性(r = 0.614, p < 0.000),而与肌肉骨骼症状无显著相关性。三叉神经感觉障碍可以通过中枢神经系统功能障碍或继发于疼痛的抑制机制来解释。
Prospective study of trigeminal sensibility after whiplash trauma.
Trigeminal sensory impairment is frequent in whiplash cases. The pathophysiology is unknown. The purpose of the present investigation was to prospectively study the trigeminal sensibility for temperature and vibration and to evaluate their relationship with the clinical symptoms. Thirty-four of 43 patients with whiplash injury were investigated through quantitative sensory tests with a mean of 6 weeks and 71 months after injury. Sensory disturbances over the trigeminal skin area persisted over the years ( r = 0.764. p < 0.000). At follow-up, a significant correlation ( r = 0.614, p < 0.000) was found between the sensory disturbances and the symptoms related to the central nervous system, whereas no significant relationship was found with the musculoskeletal symptoms. Trigeminal sensory impairment can either be explained by dysfunction in the central nervous system or by inhibitory mechanisms secondary to pain.