头部和部创伤作为尾神经疼痛的前体:了解时间关系
Makayla Kochheiser1, Merel H J Hazewinkel1, Katya Remy2
1Division of Plastic and Reconstructive Surgery, Weill Cornell Medicine, New York, NY.
Plastic and reconstructive surgery
|December 15, 2025
概括
尾神经疼痛 (ON) 通常在头部或部创伤的同一天开始,鞭是常见的原因. 手术减压有效地缓解了与创伤相关的ON病例中的疼痛.
科学领域:
- 神经学 神经学
- 创伤医学 创伤医学
- 疼痛管理 疼痛管理
背景情况:
- 尾神经疼痛 (ON) 与头部和部创伤有关,但症状发作的时间和损伤机制尚不清楚.
- 研究创伤和ON之间的关系对于理解其发展至关重要.
研究的目的:
- 为了调查头部和部创伤后尾神经疼痛 (ON) 的发病情况.
- 识别可能使个人易受ON的伤害机制.
- 评估手术减压在与创伤相关的ON的有效性.
主要方法:
- 评估了212名ON患者的头部/部损伤史,疼痛开始时间和损伤机制.
- 来自威尔康奈尔医学院和马萨诸塞总医院 (2020-2024) 收集的数据.
- 评估了经过神经减压手术的患者的术后结果.
主要成果:
- 55.2%的ON患者报告了先前的头部/部创伤,55.6%的患者在受伤后经历疼痛发作.
- 最常见的伤害机制包括鞭伤 (64.6%) 和直接的头部打击 (46.2%).
- 直接头部和部创伤显著增加了创伤后疼痛的几率 (p=0.01).
- 25名患者的神经减压手术显著降低了疼痛强度,频率和持续时间 (p<0.05).
结论:
- 尾神经疼痛通常在受伤的同一天开始,经常与鞭和直接头部/部创伤有关.
- 手术减压为创伤相关的ON患者提供了有效的疼痛缓解.
相关概念视频
Arteries of the Head and Neck
2.9K
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
2.9K
Cranial Bones: Superior and Posterior View
4.8K
The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
4.8K
Olfactory Receptors: Location and Structure
11.1K
The process of olfaction, also known as the sense of smell, is a sophisticated chemical response system. The specialized sensory neurons that facilitate this process, known as olfactory receptor neurons, are situated in an upper segment of the nasal cavity, known as the olfactory epithelium. Olfactory sensory neurons are bipolar, with their dendrites extending from the epithelium's apex into the mucus that lines the nasal cavity. Airborne molecules, when inhaled, traverse the olfactory...
11.1K
Cranial Nerves: Types Part I
4.6K
Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves, with the first six being essential in sensory perception, motor control, and autonomic functions related to the head and neck.
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
4.6K


