多区域连续性疼痛综合征多区域连续性疼痛综合征
Xiao Yang1, Kai-Jun Zhao1, Jian-Min Liu2
1Department of Neurosurgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.
Frontiers in neurology
|May 13, 2025
概括
这项研究介绍了多区域序列性疼痛综合征 (MRSPS),并将其与脊椎动脉剖析联系起来. 治疗这种剖析有效地解决了低输液和疼痛症状.
科学领域:
- 神经学 神经学
- 血管医学 血管医学
背景情况:
- 多区域序列性疼痛综合征 (MRSPS) 是一种新的临床实体.
- 低输液和密码性脊椎动脉剖析 (CVAD) 是MRSPS的潜在因素.
研究的目的:
- 为了定义MRSPS.
- 为了研究低输液,CVAD和MRSPS之间的关系.
- 为了评估治疗结果.
主要方法:
- 一名59岁的患有慢性MRSPS的女性患者接受了全面的神经成像 (CTA,MRI,DSA,CT输液,DCE-CT).
- 鉴定出了密码性脊椎动脉剖析 (CVAD).
- 治疗包括CVAD修复与支架植入.
主要成果:
- 干预后,低输液完全解决.
- 患者经历了疼痛和的完全消失.
- 神经恢复是完全的,在1年的随访时,修改后的兰金度表得分为0.
结论:
- 在MRSPS中,CVAD是大脑低 perfusion 的重要原因.
- 修复CVAD是缓解MRSPS症状的有效治疗方法.
相关概念视频
Analgesia and Pain Management
403
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
403
Regional Terms
9.1K
Regional terms describe anatomy by dividing the body parts into different regions that contain structures involved in contributing similar functions. Using these terms helps increase the accurate description and identification of the particular region of interest or region affected by the disease.
Primarily, the human body has two major regions, the axial and appendicular regions. The axial region comprises regions from the head to the abdomen and makes up the central body axis. In contrast,...
Primarily, the human body has two major regions, the axial and appendicular regions. The axial region comprises regions from the head to the abdomen and makes up the central body axis. In contrast,...
9.1K
Pain
412
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
412
Nociception
27.6K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
27.6K


