Shim Yong Woo, Paeng Sung Hwa, Lee Keun Soo, Kim Sung Tae, Lee Won Hee
Department of Neurosurgery, School of Medicine, Inje University Busan Paik Hospital, Busan, Korea.
Korean J Neurotrauma. 2019 Apr 23;15(1):38-42. doi: 10.13004/kjnt.2019.15.e10. eCollection 2019 Apr.
Trigeminal neuralgia is caused by compression of trigeminal nerve root and it leads to demyelination gradually. It was almost idiopathic and occurred unexpected. The upper cervical spinal cord contains the spinal trigeminal tract and nucleus. Fibers with cell bodies in the trigeminal ganglion enter in the upper pons and descend caudally to C2 level. We experienced a rare patient with facial pain, which was paroxysmal attack with severe pain after a clear event, cervical spinal injury (C2). So, this case reminds us of a possible cause of trigeminal neuralgia after a trauma of the head and neck.
三叉神经痛是由三叉神经根受压引起的，它会逐渐导致脱髓鞘。它几乎是特发性的，发病毫无预兆。颈上段脊髓包含三叉神经脊髓束和三叉神经核。三叉神经节中具有细胞体的纤维进入脑桥上段并向尾侧下行至C2水平。我们遇到了一位罕见的面部疼痛患者，其疼痛为阵发性发作，在明确的颈部脊髓损伤（C2）事件后出现剧痛。所以，这个病例提醒我们头颈部外伤后可能是三叉神经痛的一个病因。
