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非典型膝状神经痛:颅神经根与小脑前下动脉的非典型解剖学关联

Atypic geniculate neuralgia: atypic anatomic correlation of cranial nerve roots and AICA.

作者信息

Ozer Füsun Demirçivi, Duransoy Yusuf Kurtuluş, Camlar Mahmut

机构信息

Department of Neurosurgery, Izmir Training and Research Hospital, Arikent Sitesi C-7 Blok D:9 Narlidere, 35360 Izmir, Turkey.

出版信息

Acta Neurochir (Wien). 2009 Aug;151(8):1003-4; discussion 1004. doi: 10.1007/s00701-009-0367-5. Epub 2009 Apr 30.

Abstract

Geniculate neuralgia is a rare cause of craniofacial pains. The anterior inferior cerebellar artery is the offending vessel which compress nervus intermedius in the patients with typical geniculate neuralgia. We report a patient whose pain was atypical for either geniculate neuralgia and trigeminal neuralgia. At operation the anterior inferior cerebellar artery was coursing with the nerves and was separated. After the decompression the pain resolved immediately.

摘要

膝状神经痛是颅面部疼痛的罕见病因。在典型的膝状神经痛患者中,小脑前下动脉是压迫中间神经的肇事血管。我们报告了一例患者,其疼痛既不符合膝状神经痛也不符合三叉神经痛的典型表现。手术中发现小脑前下动脉与神经伴行并予以分离。减压术后疼痛立即缓解。

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