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结节切开术:在抗治医疗耐药性中风后疼痛的战斗中,最后一个站得住脚的人

Linda Kollenburg¹, Erkan Kurt¹, Hisse Arnts¹

¹Department of Neurosurgery, Radboud University Medical Center, Nijmegen, The Netherlands.

|March 26, 2024

概括

中央中风后疼痛 (CPSP) 具有挑战性治疗. 环膜切割术是一种向前带带皮层的损伤技术,为医学上不耐药的CPSP提供了潜在的最后选择,正如一个罕见的案例研究所显示的那样.

科学领域:

神经外科神经外科
疼痛管理疼痛管理
神经学神经学

背景情况:

中心中风后疼痛 (CPSP) 由于治疗效率有限和自发恢复而构成重大挑战.
前带带皮质是慢性疼痛的潜在目标,因为它在处理疼痛和情绪调节方面的作用.

研究的目的:

评估前侧环切除术作为治疗医疗耐药性中枢中风后疼痛的疗效.
提出一个病例研究,一个患有严重CPSP的患者接受了环膜切除术.

主要方法:

前环切除术是在60岁的女性患者身上进行的,该患者患有严重的CPSP,其结果是中风.
该患者此前曾经在多种常规和非标签治疗中失败.

主要成果:

患者在手术后没有出现显著的不良事件,除了暂时的词汇障碍.
手术14周后,疼痛强度显著降低和疼痛行为改善.
在稍后的后续行动中,CPSP的完整解决方案得到了实现.

结论:

前侧环膜切除术可以作为患有难以治愈的中枢中风后疼痛的患者的可行的最后手段干预.
需要对同质患者群体进行进一步的研究,以优化损伤目标并恢复这种技术.

关键词:

在 ACC ACC ACC ACC ACC ACC ACC ACC ACC ACC ACC 这是CPSP的.中心疼痛中心疼痛这种结合性结合性结合 (Cingulotomy) 是一种结合性结合.一次性中风,中风.

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