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[面部疼痛综合征中交感神经眶-瞳孔神经支配的状态]

[State of the sympathetic orbito-pupillary innervation in facial pain syndromes].

作者信息

Sokolova O N, Vasin N Ia, Kukute S R

出版信息

Vopr Neirokhir. 1976 Sep-Oct(5):30-5.

PMID:1014515
Abstract

In 55 patients with trigeminal pain syndromes of different genesis a study of the state of the orbit-pupillar innervation was undertaken judging by the response to sympathomimetic drugs (adrenalin and cocaine solutions) administered into the conjunctival sack. The obtained data were evaluated by way of pupillography. The disorders in sympathetic orbit-pupillary innervation were found to be independent of a prevailing lesion of any of the three peripheral branches of the trigeminal nerve. Trigeminal neuralgias develop without any disorders in the sympathetic orbit-pupillary innervation. In the presence of a neuritic component in trigeminal pains the disorders in the sympathetic orbit-pupillary innervation are noted invariably. In anaesthesia dolorosa of the face an important place in the genesis of the pain syndrome belongs to the cranial portion of the sympathetic nervous system.

摘要

对55例不同病因的三叉神经痛综合征患者,通过向结膜囊内滴入拟交感神经药物(肾上腺素和可卡因溶液)后的反应,对眼眶 - 瞳孔神经支配状态进行了研究。所得数据通过瞳孔描记法进行评估。发现交感神经眼眶 - 瞳孔神经支配紊乱与三叉神经三个外周分支中任何一个的主要病变无关。三叉神经痛发作时交感神经眼眶 - 瞳孔神经支配无任何紊乱。在三叉神经痛存在神经炎性成分时,交感神经眼眶 - 瞳孔神经支配紊乱总是会出现。在面部麻醉性疼痛中,疼痛综合征发生的一个重要因素是交感神经系统的颅部。

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