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由于脊椎巴性 dolichoectasia 的光喉神经疼痛: 一个案例报告

Jui Yen Chen, Keita Takizawa, Kana Ozasa

Quintessence international (Berlin, Germany : 1985)

|February 28, 2024

概括

由脊椎巴性 dolichoectasia 引起的光喉神经疼痛是罕见的. 微血管减压手术有效地消除了患者的神经性疼痛,通过减压喉神经.

科学领域:

神经学神经学
疼痛医学医学疼痛医学
神经外科神经外科

背景情况:

脊椎巴性 dolichoectasia (VBD) 的次要光神经疼痛 (GPN) 是一个罕见的情况.
脊椎动脉疾病涉及脊椎动脉异常扩大和扭曲,可能会压缩神经.
这一案例凸显了与这种罕见的神经病痛病因相关的诊断和治疗挑战.

研究的目的:

要呈现一种由VBD引起的GPN病例.
为了说明诊断过程和治疗结果.
强调在耐火性面部疼痛中考虑神经血管压缩的重要性.

主要方法:

评估了一名67岁的男性患者,他患有严重的口腔疼痛.
诊断工作包括牙科,耳鼻腔,关节检查,放射学和磁共振成像/血管学.
疼痛管理涉及局部利多卡因,卡巴马西平,最终,微血管减压手术.

主要成果:

核磁共振/核磁共振揭示了压缩光喉神经和脑干的脊椎动脉.
局部利多卡因证实了GPN. 卡巴马泽平显示部分有效性.
微血管减压手术导致疼痛完全消失.

结论:

脊椎动脉对光神经的压缩可以导致严重的神经病痛.
局部麻醉测试对于诊断GPN非常有价值.
微血管减压是一种有效的治疗GPN二次VBD.
牙医需要具备诊断技能和解剖学知识,以便及时转诊.

关键词:

发光喉神经疼痛是一种神经疼痛.面部或面部疼痛是一种疼痛.关节关节疾病关节关节疾病脊柱骨干的 dolichoectasia 发生在脊柱骨干 dolichoectasia

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