Rasche D, Kress B, Schwark C, Wirtz C R, Unterberg A, Tronnier V M
Department of Neurosurgery, University of Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Neurology. 2004 Nov 9;63(9):1714-5. doi: 10.1212/01.wnl.0000142972.12040.44.
The incidence of trigeminal neuralgia (TN) in patients with multiple sclerosis is higher than in the general population. If pharmacologic therapy fails, invasive procedures in the gasserian ganglion are usually offered. Microvascular decompression is not routinely performed. The authors report a patient with persistent TN after repetitive trigeminal radiofrequency rhizotomy and finally successful microvascular decompression after demonstration of neurovascular compression with high-resolution MRI.
多发性硬化症患者中三叉神经痛（TN）的发病率高于普通人群。如果药物治疗失败，通常会采用半月神经节的侵入性手术。微血管减压术并非常规进行。作者报告了一名患者，在反复进行三叉神经射频神经根切断术后仍持续存在TN，最终在通过高分辨率MRI证实神经血管受压后成功进行了微血管减压术。
