玛刀放射手术后的疼痛麻醉:对长期并发症的警告性见解
Mark List1,2, Molly Lien3
1Family Medicine, Avera Health, Sioux Falls, South Dakota, USA mark.list@avera.org.
BMJ case reports
|December 31, 2025
概括
三神经疼痛的玛刀放射手术 (GKRS) 一年后可能导致罕见的,严重的疼痛麻醉 (AD). 这一案例凸显了对延迟并发症和改善患者管理策略的警的必要性.
科学领域:
- 神经外科 神经外科
- 疼痛管理 疼痛管理
- 神经学 神经学
背景情况:
- 玛刀放射性手术 (GKRS) 是三角神经疼痛的常见治疗方法.
- 虽然通常是安全的,但罕见的并发症可能会发生.
- 疼痛麻醉 (AD) 是一种使人虚弱的分离疼痛,以痛苦的麻木为特征.
研究的目的:
- 报告一个罕见的延迟疼痛麻醉 (AD) 病例,该病例是在三角神经疼痛的GKRS之后出现的.
- 强调GKRS后可能出现严重的长期并发症.
- 突出早期识别和多学科管理AD的重要性.
主要方法:
- 一个70多岁的男性患者的病例报告.
- 对三角神经疼痛治疗史的审查.
- 在GKRS后大约一年诊断出疼痛麻醉 (AD).
- 持续症状和治疗挑战的记录.
主要成果:
- 在GKRS发生一年后,患者出现了渐进的面部麻木和难以治疗的面部疼痛.
- 症状被诊断为疼痛麻醉 (AD),显著影响生活质量.
- 尽管进行了干预,但患者的病情仍然令人虚弱.
结论:
- GKRS可能导致罕见的,延迟发病的,以及像AD这样的严重并发症.
- 彻底的手术前咨询和长期的患者随访至关重要.
- 需要提高临床意识和多学科方法来诊断和管理GKRS后的AD.
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