[三神经疼痛和半面的发生率]
Yoshifumi Mizobuchi1, Shinji Nagahiro
1Department of Neurosurgery, Japanese Red Cross Kochi Hospital.
No shinkei geka. Neurological surgery
|January 21, 2024
概括
神经外科医生应该了解三神经疼痛 (TN) 和面部的流行病学. 微血管减压 (MVD) 对这两种情况都有很高的长期疗效,当由专家外科医生进行时,并发症率很低.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 流行病学 流行病学
背景情况:
- 三神经疼痛 (TN) 和半面 (HF) 是影响面部神经的神经疾病.
- 了解它们的流行病学对于神经外科医生来说至关重要.
- 因果性血管压缩是这两种情况的关键因素.
研究的目的:
- 审查TN和HF的流行病学.
- 为了展示微血管减压 (MVD) 对这些疾病的有效性和安全性.
- 强调外科医生专业知识的重要性.
主要方法:
- 对TN和HF的流行病学数据的文献综述.
- 对MVD的长期疗效和并发症率的分析.
- 综合有关致病性血管的信息 (TN的SCA,HF的AICA).
主要成果:
- TN发病率:4.3-28.9/100,000;流行率:76.8/100,000,在女性/右侧更常见,SCA是罪祸首.
- HF发病率:0.78/100,000;流行率:~10/100,000,在女性/左侧更常见,AICA的罪祸首.
- 长期MVD疗效:TN80%的疼痛解消,5.2%的并发症;HF 87.1%的解消,3.0%的并发症.
结论:
- MVD是一种安全且高效的TN和HF治疗方法.
- 专家手术的表现对于最佳的结果和最小化并发症至关重要.
- 流行病学意识有助于神经外科医生的诊断和治疗计划.
相关概念视频
Cranial Nerves: Types Part I
2.6K
Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves, with the first six being essential in sensory perception, motor control, and autonomic functions related to the head and neck.
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
2.6K
Vascular Spasm
1.4K
The vascular phase, also known as vasospasm, is the initial stage of hemostasis, crucial for preventing excessive bleeding when a blood vessel is injured. After a vessel is cut, nerves in the damaged area trigger pain and other sensory impulses. Simultaneously, the smooth muscles in the vessel wall contract, resulting in a vascular spasm. This contraction reduces the vessel's diameter at the injury site, slowing or stopping blood loss through the vessel wall. Vascular spasms typically last...
1.4K
Cranial Nerves: Types Part II
2.5K
Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves. While the first six innervate the head and neck, the latter six nerves innervate the head and neck, as well as organs and tissues in the thoracic and abdominal cavities. They facilitate communication, expression, and autonomic control within the human body.
Facial Nerve (Cranial Nerve VII)
Cranial nerve VII, or the facial nerve,...
Facial Nerve (Cranial Nerve VII)
Cranial nerve VII, or the facial nerve,...
2.5K
Cranial Nerves: Overview and Anatomy
1.8K
The cranial nerves are an important part of the complex network of nerves in the human body. These nerves emerge directly from the brain and are responsible for transmitting essential information between the brain and various parts of the head and neck. There are 12 pairs of cranial nerves, systematically numbered using Roman numerals from I to XII, beginning from the anterior and moving to the posterior of the brain. Each cranial nerve is uniquely identified by names that reflect its function...
1.8K
Cranial Part of Parasympathetic Division
1.2K
The cranial part of the parasympathetic division plays a crucial role in regulating the visceral functions of the head and specific structures in the neck, thoracic, and abdominopelvic cavities. Preganglionic fibers of the parasympathetic division exit the brain through cranial nerves III (oculomotor), VII (facial), IX (glossopharyngeal), and X (vagus), delivering parasympathetic output to the respective visceral structures.
The vagus nerve (cranial nerve X) alone accounts for approximately 75...
The vagus nerve (cranial nerve X) alone accounts for approximately 75...
1.2K


