Department of Neurosurgery, Tokai University School of Medicine, Kanagawa, Japan.
Department of Neurosurgery, Tokai University School of Medicine, Kanagawa, Japan.
World Neurosurg. 2019 Dec;132:154-160. doi: 10.1016/j.wneu.2019.08.200. Epub 2019 Sep 5.
Recurrent trigeminal neuralgia after successful microvascular decompression is not rare.
A 72-year-old woman who presented with typical right trigeminal neuralgia had been successfully treated by microvascular decompression with transposition of the superior cerebellar artery. However, she complained of trigeminal neuralgia on the ipsilateral side 14 months after the microvascular decompression. Redo microvascular decompression showed that the anterior inferior cerebellar artery, which had not been detected at the initial surgery, compressed the right trigeminal nerve.
This case is an unusual type of recurrent trigeminal neuralgia because of a subsequently developed offending vessel within a short period.
成功微血管减压术后的复发性三叉神经痛并不罕见。
一位 72 岁的女性因典型的右侧三叉神经痛接受了小脑上动脉移位的微血管减压术治疗，效果良好。然而，在微血管减压术后 14 个月，她出现了同侧三叉神经痛。再次进行微血管减压术显示，最初手术时未检测到的小脑前下动脉压迫了右侧三叉神经。
本例是一种不常见的复发性三叉神经痛类型，因为在短时间内出现了新的致病血管。
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