三叉体自主反射的主要影响可能不是nociceptive:一个案例报告
Chenglong Sun1, Wenhao Zheng, Haotian Zhou
1Westlake University, School of Medicine, Affiliated Hangzhou First People's Hospital, Department of Neurosurgery, Hangzhou, China.
Turkish neurosurgery
|April 23, 2024
概括
在三角神经疼痛治疗后,即使疼痛得到缓解,也可能出现过度唾液流等自主症状. 这一案例表明,非nociceptive神经纤维可能会导致这些治疗后自主症状.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 神经外科 神经外科
背景情况:
- 三神经疼痛 (TN) 是一种严重的面部疼痛状况.
- 自主症状通常伴随着TN疼痛发作,表明三角神经参与.
- 穿皮气球压缩是TN的治疗方法,旨在缓解疼痛.
研究的目的:
- 报告三角神经疼痛的皮肤通气球压缩后的并发症单独的过多唾液的病例.
- 挑战三角神经疼痛期间自主症状仅与 nociceptive 途径相关的假设.
主要方法:
- 一个71岁的女性患者的病例报告.
- 审查之前的微血管减压和手术前成像.
- 在没有疼痛的患者中分析手术后的自主症状 (过度唾液流).
主要成果:
- 经过皮肤穿透气球压缩后,患者在受影响的侧面经历了显著的唾液过多.
- 患者在手术后仍然没有疼痛.
- 自主症状独立于疼痛发生,作为并发症.
结论:
- 通过皮肤进行气球压缩治疗三角神经疼痛可能导致自主性并发症,如过多的唾液流.
- 这一案例表明,过度激活的三角神经纤维导致过度唾液流,即使没有疼痛,也可能不会产生感觉.
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