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幻肢疼痛,创伤性神经瘤,或神经膜瘤? 一个说明性的案例

Patrick J Halloran¹, E Antonio Chiocca², Andres Santos³

¹1University of Connecticut School of Medicine, Farmington, Connecticut; and Departments of.

Journal of neurosurgery. Case lessons

|April 15, 2024

概括

幻肢疼痛可以模仿截肢后的创伤性神经瘤. 在一个患有长期幻肢疼痛的患者身上,诊断出距离茎部的坐骨神经神经瘤.

科学领域:

神经外科神经外科
疼痛管理疼痛管理
截肢并发症截肢并发症

背景情况:

幻肢疼痛和创伤性神经瘤表现出类似的症状,但在管理方面有所不同.
创伤性神经瘤往往需要手术干预,而幻肢疼痛通常是保守地管理.

研究的目的:

强调在持续幻肢疼痛的差异诊断中考虑创伤性神经瘤的重要性.
介绍一个神经瘤被误诊为幻肢疼痛的案例.

主要方法:

一个77岁的女性患者的案例研究,膝盖以上截肢和慢性疼痛.
磁共振成像 (MRI) 揭示了坐骨椎间板的质量.
手术切除和病理诊断证实了神经瘤.

主要成果:

患者经历了严重的,长期存在的疼痛,归因于幻肢疼痛.
磁力共振成像检测出了坐骨上的一块质体,最初被认为是神经膜瘤.
手术揭示了切断的坐骨神经的神经瘤.

结论:

截肢后主要神经的创伤性神经瘤应纳入幻肢疼痛的差异诊断.
神经瘤的解剖位置可能远离截肢.

关键词:

案例报告案例报告幻肢疼痛幻肢疼痛幻肢疼痛斯瓦诺马斯克人的一个问题.创伤性神经瘤是一种创伤性神经瘤.

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