我怎么做:内镜微血管减压神经穿透三角大脑小动脉,导致三角神经疼痛
Mayank Nakipuria1,2, Fuminari Komatsu3, Dragan Jankovic1,4
1Department of Neurosurgery, Fujita Health University Bantane Hospital, 3-6-10 Otobashi, Nakagawa-ward, Nagoya, Aichi, 454-8509, Japan.
Acta neurochirurgica
|June 6, 2023
概括
内視鏡微血管減壓有效地治療由三神經動脈變體引起的三神經痛. 这种最少的侵入性技术提供了改进的可视化和患者的舒适性,具有出色的结果.
科学领域:
- 神经外科 神经外科
- 血管神经学 血管神经学
背景情况:
- 三角大脑小动脉是基础动脉的一种变体,很少会导致三角神经疼痛.
- 了解神经血管压缩对于治疗面部疼痛至关重要.
研究的目的:
- 为了评估全内微血管减压 (eMVD) 的有效性和安全性,用于归因于三角神经动脉的三角神经痛.
- 评估微创手术在神经血管减压中的益处.
主要方法:
- 使用0度内镜通过回形西格形钥匙孔方法进行了全内微血管减压 (eMVD).
- 印ocyanine绿色血管学被用来识别神经血管冲突的点.
- 减压侧重于受影响神经的根部进入区域.
主要成果:
- 患者在eMVD手术后面部疼痛显著改善.
- 没有报告任何手术并发症.
- 使用内镜技术实现了增强的可视化.
结论:
- 完整的eMVD是三角神经疼痛的实用和最少的侵入性手术选择.
- 该技术不复杂,可以改善可视化和患者舒适度.
- 内镜方法为穿透神经的动脉压缩提供了一种安全有效的治疗方法.
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