Department of Dermatology, University of Sydney at Royal Prince Alfred Hospital, Camperdown, Sydney, New South Wales, Australia.
Australas J Dermatol. 2011 Feb;52(1):e1-4. doi: 10.1111/j.1440-0960.2009.00613.x.
A 72-year-old man with a history of thrombotic CVA causing lateral medullary infarction presented with non-healing ulcers of the right side of the face of 5 months' duration. After extensive investigations, a diagnosis of trigeminal trophic syndrome was made. The ulcers progressed relentlessly despite amitriptyline and gabapentin, and he was treated with a combination of carbamazepine and thermoplastic mask occlusion of the right side of his face. Over the next 10 weeks the shallower facial ulcers began to diminish in depth and diameter, and the deeper ulcers stopped progressing. Although the patient showed early signs of healing, he died because of complications from the CVA.
一位 72 岁的男性，有血栓性 CVA（脑梗死）导致延髓外侧梗死的病史，出现右侧面部 5 个月未愈的溃疡。经过广泛的检查，诊断为三叉神经营养综合征。尽管使用了阿米替林和加巴喷丁，溃疡仍不断进展，随后他接受了卡马西平和热塑面具来封闭右侧面部的联合治疗。在接下来的 10 周内，较浅的面部溃疡深度和直径开始减小，较深的溃疡停止进展。尽管患者有早期愈合迹象，但他还是因 CVA 的并发症而死亡。
