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肿瘤继发三叉神经痛,检查正常,对卡马西平有反应。

Trigeminal neuralgia secondary to tumor with normal exam, responsive to carbamazepine.

作者信息

Metzer W S

机构信息

Department of Neurology, University of Arkansas for Medical Sciences, Little Rock.

出版信息

Headache. 1991 Mar;31(3):164-6. doi: 10.1111/j.1526-4610.1991.hed3103164.x.

DOI:10.1111/j.1526-4610.1991.hed3103164.x
PMID:2071395
Abstract

Trigeminal neuralgia is most commonly idiopathic, although it can be associated with multiple sclerosis. Tumors are rare causes of trigeminal neuralgia. A case is presented of trigeminal neuralgia with normal neurological examination and responsive to carbamazepine, secondary to a cerebellopontine angle meningioma. Literature relative to neoplastic etiologies of trigeminal neuralgia is reviewed. The role of electrodiagnostic testing in the evaluation of trigeminal neuralgia is considered. A normal neurological examination and responsiveness to carbamazepine do not exclude tumor as an etiology of trigeminal neuralgia.

摘要

三叉神经痛最常见的病因是特发性的,尽管它可能与多发性硬化症有关。肿瘤是三叉神经痛的罕见病因。本文报告了一例三叉神经痛患者,其神经系统检查正常且对卡马西平有反应,病因是桥小脑角脑膜瘤。回顾了与三叉神经痛肿瘤病因相关的文献。考虑了电诊断测试在三叉神经痛评估中的作用。神经系统检查正常且对卡马西平有反应并不能排除肿瘤作为三叉神经痛的病因。

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