Fleetwood I G, Innes A M, Hansen S R, Steinberg G K
Department of Neurosurgery, Stanford University, California 94305-5327, USA.
J Neurosurg. 2001 Sep;95(3):513-7. doi: 10.3171/jns.2001.95.3.0513.
The authors report the case of a 45-year-old woman with medically intractable trigeminal neuralgia (TN) in whom a good clinical response to partial sectioning of the trigeminal nerve was attained. No evidence of vascular compression was found intraoperatively. Several other members of her family, involving three generations, also suffered from TN. The treatment of all affected patients is discussed in the context of a literature review in which the controversies surrounding the origins of the disease and treatment options for patients with the familial variant of TN are addressed.
作者报告了一例45岁患有药物治疗无效的三叉神经痛（TN）的女性病例，该患者通过三叉神经部分切断术获得了良好的临床反应。术中未发现血管压迫的证据。她家族中的其他几名成员，涉及三代人，也患有三叉神经痛。在文献综述的背景下讨论了所有受影响患者的治疗方法，其中涉及该疾病起源的争议以及家族性三叉神经痛患者的治疗选择。
