Knibestöl M, Hildingsson C, Toolanen G
Department of Clinical Neurophysiology, University Hospital, Umeå, Sweden.
Acta Neurol Scand. 1990 Oct;82(4):271-6. doi: 10.1111/j.1600-0404.1990.tb01618.x.
The cutaneous sensibility for vibration and temperature in the trigeminal skin area was examined with quantitative methods in 30 patients with a previous soft-tissue injury of the cervical spine. Sixteen patients with chronic and disabling symptoms had significantly increased thresholds for vibration over the ophthalmic (p less than 0.001) and mandibular (p less than 0.01) divisions of the trigeminal nerve compared with 14 without symptoms. Temperature thresholds were measured in all three divisions of the trigeminal nerve, and were significantly increased in all three compared with controls (p less than 0.001 in ophthalmic division, p less than 0.01 in maxillary and p less than 0.05 in mandibular divisions). The impairment of vibration and temperature sensibility in the trigeminal skin area in patients with chronic symptoms after soft-tissue injury of the cervical spine indicates damage to the central trigeminal system in upper spinal cord segments and ponto-medullary levels of the brainstem.
采用定量方法对30例既往有颈椎软组织损伤的患者的三叉神经皮肤区域的振动觉和温度觉进行了检查。与14例无症状患者相比，16例有慢性致残症状的患者在三叉神经眼支（p<0.001）和下颌支（p<0.01）的振动阈值显著升高。在三叉神经的所有三个分支中均测量了温度阈值，与对照组相比，所有三个分支的温度阈值均显著升高（眼支p<0.001，上颌支p<0.01，下颌支p<0.05）。颈椎软组织损伤后有慢性症状的患者三叉神经皮肤区域的振动觉和温度觉受损，表明上脊髓节段和脑干脑桥延髓水平的中枢三叉神经系统受损。
