Marchi Cassiano, de Aguiar Paulo Henrique Pires, Moura Ana Maria, Matricardi Giovanna, Muniz Carolina Utsunomya, Aires Rogério, Gehrke Flávia, Santiago Natally, Simis Samuel
Department of Neurosurgery, Hospital Santa Paula, São Paulo, Brazil.
Department of Surgery, Post Graduation Section, Federal University of Rio Grande do Sul, São Paulo, Brazil.
Surg Neurol Int. 2017 Jun 21;8:125. doi: 10.4103/sni.sni_375_16. eCollection 2017.
Trigeminal neuralgia (TN) is the most common type of facial neuralgia with incidence of 26.8/100,000 person year. In general, this scenario is characterized by a lancinating, unilateral, paroxysmal pain in the area of the fifth cranial nerve. Several treatment methods, including the injection of ethyl alcohol or butyl alcohol into the ganglion, the glycerol injection into the trigeminal cistern, peripheral nerve divisions, the radiofrequency thermocoagulation of the preganglionic fibers, and radiosurgery has been used for TN.
A case of a 74-year-old woman patient who undergone a treatment of TN through a compression of Meckel cave and developed a transient abducent palsy is presented. Complication regarding to a palsy of abducent nerve is discussed as well as the analysis of presumable evolving physiopathology. A critical review of literature was performed.
Among the procedures, we mean that percutaneous microballoon compression (PMC) is the best choice for elderly frail patients, because it had a very low associated mortality-morbidity rate and does not damage permanent the Gasserian ganglion.
三叉神经痛（TN）是最常见的面部神经痛类型，发病率为26.8/10万/人年。一般来说，这种情况的特征是第五颅神经区域出现刺痛、单侧、阵发性疼痛。几种治疗方法，包括向神经节注射乙醇或丁醇、向三叉神经池注射甘油、周围神经切断术、节前纤维的射频热凝术以及放射外科手术，都已用于治疗三叉神经痛。
本文介绍了一名74岁女性患者，她通过压迫梅克尔腔接受了三叉神经痛治疗，并出现了短暂性展神经麻痹。讨论了与展神经麻痹相关的并发症以及对可能演变的病理生理学的分析。对文献进行了批判性综述。
在这些手术中，我们认为经皮微球囊压迫术（PMC）是老年体弱患者的最佳选择，因为它的相关死亡率和发病率非常低，并且不会永久性损伤半月神经节。
Zotero 插件