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基底动脉扩张:三叉神经痛的一种罕见病因。

Basilar artery ectasia: an unusual cause of trigeminal neuralgia.

作者信息

Lye R H

出版信息

J Neurol Neurosurg Psychiatry. 1986 Jan;49(1):22-8. doi: 10.1136/jnnp.49.1.22.

DOI:10.1136/jnnp.49.1.22
PMID:3514796
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1028642/
Abstract

Basilar artery ectasia may be associated with trigeminal neuralgia as a consequence of trigeminal nerve compression by the aberrant artery. The case histories are presented of four patients, investigation of whom demonstrated the presence of an ectatic basilar artery thought to be the cause of facial pain. The value of intravenous digital subtraction angiography in the investigation of this condition is emphasised. The surgical management is discussed with particular reference to the choice between percutaneous thermocoagulation and posterior fossa microvascular decompression.

摘要

基底动脉扩张可能因异常动脉压迫三叉神经而与三叉神经痛相关。本文报告了4例患者的病例,对他们的检查显示存在扩张的基底动脉,被认为是面部疼痛的原因。强调了静脉数字减影血管造影在该疾病检查中的价值。讨论了手术治疗方法,特别提及了经皮热凝术和后颅窝微血管减压术之间的选择。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f465/1028642/ac9a9b834e70/jnnpsyc00093-0036-a.jpg
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Comparison of Microvascular Decompression and Two Isocenters Gamma Knife for the Treatment of Trigeminal Neuralgia Caused by Vertebrobasilar Dolichoectasia.

本文引用的文献

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Concerning the mechanism of trigeminal neuralgia and hemifacial spasm.关于三叉神经痛和面肌痉挛的机制。
J Neurosurg. 1962 Nov;19:947-58. doi: 10.3171/jns.1962.19.11.0947.
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The relationship between the third ventricle and the basilar artery.第三脑室与基底动脉之间的关系。
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The clinical picture of ectasia of the intracerebral arteries.
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Front Neurol. 2021 Aug 30;12:707985. doi: 10.3389/fneur.2021.707985. eCollection 2021.
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Gamma knife radiosurgery to the trigeminal ganglion for treatment of trigeminal neuralgia secondary to vertebrobasilar ectasia.伽玛刀对三叉神经节进行放射外科治疗以治疗椎基底动脉扩张继发的三叉神经痛。
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Trigeminal neuralgia.三叉神经痛
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Hydrocephalus due to elongated basilar artery. A new clinicoradiological syndrome.基底动脉延长导致的脑积水。一种新的临床放射学综合征。
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Arterial cross compression of the trigeminal nerve at the pons in trigeminal neuralgia. Case report with autopsy findings.三叉神经痛中脑桥处三叉神经的动脉交叉压迫。伴有尸检结果的病例报告。
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