脑水症相关的三角神经疼痛
Jiangwei Ding1, Yangyang Wang2, Xiaoyan Hao3
1Department of Neurosurgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Frontiers in neurology
|February 11, 2026
概括
水脑症可以导致三角神经疼痛 (TGN). 脑脊液 (CSF) 转移程序,如腹腔关突变 (VPS) 和内第三腹腔静脉切除术 (ETV) 是有效的第一线治疗TGN二次性头症.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 医学研究 医学研究
背景情况:
- 三神经疼痛 (TGN) 继发于水头是一种不常见的临床表现.
- 脑水,一种脑脊液 (CSF) 在大脑中过多的情况,可以导致神经症状,包括TGN.
研究的目的:
- 为了研究水脑和TGN之间的关系.
- 为了评估TGN的手术干预的有效性,TGN是由水脑引起的.
主要方法:
- 三个机构案件的回顾性分析.
- 在2024年12月之前对并发性水脑病和TGN病例进行系统的文献审查.
- 对人口统计数据,治疗策略和患者结果的分析.
主要成果:
- 总共分析了21例病例,平均年龄为38岁,性别分布均衡.
- 常见的病因包括孤立的头 (12例),奇亚里I形 (5例),丹迪-沃克综合征 (2例) 和瘤 (2例).
- 在75%的水头发病例中,心室外皮管突变 (VPS) 实现了完全的疼痛缓解;内镜第三心室静脉切除术 (ETV) 在两个病例中是有效的. 微血管减压 (MVD) 显示出不同的疗效,特别是与CSF转移相结合时.
结论:
- 水脑是二次TGN的一个未被认可的原因.
- 建议使用CSF转移程序 (VPS/ETV) 作为一线治疗.
- 微血管减压 (MVD) 最好保留给耐火病例,支持多学科的方法.
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