激光间歇性热疗法治疗药物耐药后的急性V3低听力症
Jordan L W Lam1, Emily L Levin2
1Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA, lamjor@med.umich.edu.
Stereotactic and functional neurosurgery
|August 22, 2023
概括
激光间歇性热疗法 (LITT) 可以导致三角神经低,这是一个罕见的并发症. 本案例报告详细介绍了这种副作用的第一个实例,该副作用是在药物耐药性的LITT之后出现的.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 症管理 症管理
背景情况:
- 三胞胎缺血是叶切除的已知并发症.
- 没有先前的报道将三角管下与激光间歇性热疗法 (LITT) 联系起来.
研究的目的:
- 报告LITT.之后的第一个三角体低血症病例.
- 调查这种并发症的潜在机制.
主要方法:
- 一名患有耐药性的患者接受了MRI指导的LITT,用于脑瘤.
- 手术后的神经学检查和随访评估三角神经功能.
主要成果:
- 患者在LITT后立即出现了左V3三角膜下.
- 在6个月后,低发作症正在改善,患者没有发作.
- 假设三角神经或其分支受到热损伤.
结论:
- 虽然LITT对有效,但它存在三角质下的风险.
- 通过脑脊液空间的潜在热导和MRI可视化限制可能有助于.
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