病例报告:百岁以上的三神经疼痛的内微血管减压:一个具有里程碑意义的病例,随访5年
Xuhao Fang1, Feng Tang1, Yao Deng1
1Department of Neurosurgery, Huadong Hospital, Fudan University, Shanghai, China.
Frontiers in surgery
|August 27, 2025
概括
在一个105岁的患者中,内微血管解压 (E-MVD) 成功治疗了三神经疼痛 (TN). 这个案例证明了E-MVD
科学领域:
- 神经外科
- 老年医学
背景情况:
- 透视微血管解压 (E-MVD) 是三神经疼痛 (TN) 的一种已确定的治疗方法.
- 在超老年患者,特别是百岁以上的患者中,E-MVD的应用仍未得到证实.
- 三胞胎神经疼痛严重影响生活质量, 需要在所有年龄段进行有效的干预.
研究的目的:
- 报道第一个成功的E-MVD病例,
- 在极端老年患者中评估E-MVD的安全性和有效性.
主要方法:
- 一名105岁的女性患者在5年内逐渐恶化的TN进行了E-MVD.
- 在手术前的评估证实,尽管年龄较大,器官功能相对保持良好.
- 该手术是在2020年1月进行的.
主要成果:
- 患者在E-MVD后立即和完全缓解疼痛.
- 在术后没有观察到神经缺陷.
- 在5年的随访期间,患者没有出现任何症状,也没有复发.
结论:
- 即使在百岁以上的患者中,E-MVD也可以作为三胞胎神经疼痛的安全有效治疗方法.
- 这一案例突显了E-MVD在老年人群中的潜力, 挑战了以前的假设.
- 需要进一步的研究来验证这些发现,并评估E-MVD在超老年人的更广泛适用性.
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