Kmietzyk H J
Abteilung Neurologie, Bereiches Medizin der Wilhelm-Pieck-Universität Rostock.
Psychiatr Neurol Med Psychol (Leipz). 1988 Dec;40(12):712-6.
The different etiology and pathogenesis of face-neuralgiae requires a spezific therapy of the respective illness. New aspects are formed in the last years in the so-called idiopathic neuralgia. She has good chances with the therapy through the Jannetta-operation. The evident mechanical lesion by compression, the ephaptic genesis and the special pain-characterization with trigger-attacks not support the "idiopathic". This is called "ictal neuralgia". The paper attempts pathophysiological to explain the specific pain. It shows aspects to the trigger mechanism, to the intensity of the pain and to the ictal pain-characterization.
面部神经痛的不同病因和发病机制需要针对各自疾病进行特定治疗。近年来，在所谓的特发性神经痛方面出现了新的情况。通过詹内塔手术进行治疗，患者有良好的治愈机会。由压迫导致的明显机械性损伤、触突性发病机制以及伴有触发发作的特殊疼痛特征并不支持“特发性”这一说法。这被称为“发作性神经痛”。本文试图从病理生理学角度解释这种特定的疼痛。它展示了触发机制、疼痛强度以及发作性疼痛特征等方面的内容。
