以耳痛为特征的口腔神经病:一项回顾性研究
Haonan Fan1, Linkai Wang1, Siqi Xia2
1Department of Neurosurgery, The Fourth Affiliated Hospital, School of Medicine, Zhejiang University, Yiwu.
The Journal of craniofacial surgery
|July 7, 2023
概括
单纯表现为耳朵疼痛的耳鼻神经痛 (GPN) 是罕见的. 微血管减压有效地治疗了两名患有GPN的患者,缓解了他们痛苦的耳痛.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 发光神经疼痛 (GPN) 是一种不常见的面部疼痛综合征,影响头骨神经IX和X.
- 作为主要症状出现耳痛 (耳痛) 的GPN特别罕见.
研究的目的:
- 分析GPN的临床特征和预后,以耳痛为主要表现.
- 讨论这种罕见的GPN变种的诊断和治疗策略.
主要方法:
- 对两个患有GPN,主要表现为耳痛的患者的病例分析.
- 术前磁共振成像 (MRI) 评估神经血管关系.
- 手术探索和微血管减压 (MVD).
主要成果:
- 两位患者都在外部听觉器官中经历了性疼痛.
- 手术前的MRI显示,脊椎动脉和光神经之间存在密切的关系.
- 微血管解压证实并缓解了神经压缩,导致症状立即消失.
- 在11-15个月的随访期内,没有观察到疼痛的复发.
结论:
- 在患有耳痛为主要投诉的患者中,应考虑GPN.
- 通过 tympanic plexus 的喉神经的参与可能解释 GPN 与主要的耳痛.
- 表面喉麻醉测试和MRI是有价值的诊断工具.
- 微血管减压是一种有效的治疗GPN与主要的耳痛.
相关概念视频
Olfactory Receptors: Location and Structure
9.4K
The process of olfaction, also known as the sense of smell, is a sophisticated chemical response system. The specialized sensory neurons that facilitate this process, known as olfactory receptor neurons, are situated in an upper segment of the nasal cavity, known as the olfactory epithelium. Olfactory sensory neurons are bipolar, with their dendrites extending from the epithelium's apex into the mucus that lines the nasal cavity. Airborne molecules, when inhaled, traverse the olfactory...
9.4K
Taste Buds and Receptors
2.3K
Gustation, or the sense of taste, is intrinsically linked to the anatomical structures located on the tongue. This organ's surface, along with the entirety of the oral cavity, is adorned with stratified squamous epithelium. Evident on the tongue are elevated structures known as papillae (singular = papilla), which house the mechanisms for the transduction of gustatory stimuli. Four distinct types of papillae exist, each identified by their unique morphological attributes: the circumvallate,...
2.3K
Local Anesthetics: Differential Sensitivity of Nerve Fibers
876
Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
876
Chronic Pharyngitis
3.0K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
3.0K
Acute Pharyngitis
939
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
939


