Tsuyumu M, Kohmo Y
Department of Neurosurgery, Yokosuka National Hospital, Japan.
Surg Neurol. 1991 Oct;36(4):310-3. doi: 10.1016/0090-3019(91)90095-q.
A case with painful tic convulsif is presented. A 77-year-old woman had developed trigeminal neuralgia 12 years before admission and ipsilateral facial spasm 2 years before admission. Upon operation, the superior cerebellar artery was found to impinge upon the entry zone of the fifth nerve. In addition, the anterior inferior and posterior inferior cerebellar arteries were found to bend along the seventh nerve. Teflon sheets were placed between the nerves and offending arteries. She has been pain-free and spasm-free for the past 18 months. Pathomechanism of the association of the multiple compression syndromes and the treatment are discussed.
本文报告一例痛性抽搐病例。一名77岁女性在入院前12年出现三叉神经痛，入院前2年出现同侧面部痉挛。手术中发现小脑上动脉压迫第五神经的入区。此外，发现小脑前下动脉和小脑后下动脉沿第七神经弯曲。在神经和肇事动脉之间放置了聚四氟乙烯片。在过去18个月里，她一直没有疼痛和痉挛。讨论了多种压迫综合征关联的发病机制及治疗方法。
