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微血管解压神经血管压缩综合征的次要脊椎骨干骨折症:一个单中心的回顾性分析

Mauro Alberto Segura-Lozano¹, Mario Alexis Del Real-Gallegos^1,2, Pedro Mendoza-Lemus¹

¹Neurología Segura Medical Center, Hospital Angeles Morelia, Morelia, Mexico.

Frontiers in surgery

|October 30, 2025

概括

微血管解压 (MVD) 有效地治疗由脊柱骨干 dolichoectasia (VBD) 引起的神经血管压缩综合征 (NVCS). 虽然在技术上具有挑战性,但MVD为VBD相关的NVCS患者提供了良好的结果.

科学领域:

神经外科神经外科
神经学神经学
血管神经学血管神经学

背景情况:

脊椎骨性 dolichoectasia (VBD) 是一种罕见的疾病,导致神经血管压缩综合征 (NVCS).
NVCS包括三神经疼痛 (TN),半面 (HFS) 和光神经疼痛 (GPN).
微血管减压 (MVD) 是NVCS的主要手术治疗方法,但VBD病例存在独特的挑战.

研究的目的:

分析VBD的NVCS二次性临床特征.
评估手术发现,结果和VBD患者中MVD的并发症.
将VBD患者的人口统计和并发症与经典NVCS病例进行比较.

主要方法:

68名接受MVD治疗的VBD相关NVCS患者的回顾性单中心研究 (2014-2024).
收集的数据包括临床,成像,手术内和术后信息.
手术技术包括基于手术内发现的插入和转移.

主要成果:

观察到TN (72.1%),HFS (10.3%),GPN (5.9%) 和组合的神经病变 (11.8%).
完全缓解症状为TN/GPN的92.5%和HFS的55.6%.
在TN中,复发率为5.3%,在HFS中为11.1%;过渡性并发症发生在67.6%,持续性缺陷发生在36.8%.

结论:

MVD是一种安全有效的治疗VBD引起的NVCS.
这些复杂的病例需要细致的外科计划和长期的随访.
插入和转移技术都在VBD相关的NVCS中表现出有利的结果.

关键词:

发光喉神经疼痛是一种神经疼痛.半面部面部插座插座插座微血管压缩减压的方法转化转化转化转化转化转化三胞胎神经疼痛三胞胎神经疼痛脊柱骨干的 dolichoectasia 发生在脊柱骨干 dolichoectasia

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