神经性面部疼痛的神经外科治疗

The neurosurgical treatment of neuropathic facial pain.

作者信息

Brown Jeffrey A

机构信息

Neurological Surgery, PC, 600 Northern Boulevard #118, Great Neck, NY 11021, USA.

出版信息

Otolaryngol Clin North Am. 2014 Apr;47(2):343-9. doi: 10.1016/j.otc.2013.10.003. Epub 2013 Nov 28.

DOI:10.1016/j.otc.2013.10.003

PMID:24680498

Abstract

This article reviews the definition, etiology and evaluation, and medical and neurosurgical treatment of neuropathic facial pain. A neuropathic origin for facial pain should be considered when evaluating a patient for rhinologic surgery because of complaints of facial pain. Neuropathic facial pain is caused by vascular compression of the trigeminal nerve in the prepontine cistern and is characterized by an intermittent prickling or stabbing component or a constant burning, searing pain. Medical treatment consists of anticonvulsant medication. Neurosurgical treatment may require microvascular decompression of the trigeminal nerve.

摘要

本文综述了神经性面部疼痛的定义、病因及评估，以及药物和神经外科治疗。当患者因面部疼痛主诉接受鼻科手术评估时，应考虑面部疼痛的神经性起源。神经性面部疼痛由脑桥前池内三叉神经的血管压迫引起，其特征为间歇性刺痛或刀割样疼痛，或持续性烧灼样、刺痛性疼痛。药物治疗包括使用抗惊厥药物。神经外科治疗可能需要对三叉神经进行微血管减压术。