Ferroli Paolo, Vetrano Ignazio G, Acerbi Francesco, Raccuia Gabriella, Schiariti Marco, Confalonieri Paolo, Chiapparini Luisa, Broggi Morgan
Neurosurgical Unit II, Department of Neurosurgery.
Unit of Neuroimmunology and Neuromuscular Diseases, and.
Neurosurg Focus Video. 2020 Oct 1;3(2):V3. doi: 10.3171/2020.5.FOCVID203. eCollection 2020 Oct.
In multiple sclerosis (MS) patients, trigeminal neuralgia (TN) represents a challenging syndrome to treat, often refractory to medical therapy and percutaneous techniques. Despite the frequent lack of a neurovascular conflict, the trigeminal nerve's axons are often damaged, with the myelin sheath permanently degenerated, thus explaining the difficulty in treating TN in MS. The authors illustrate trigeminal interfascicular neurolysis (the combing technique) to control refractory recurrent TN in MS: the nerve is longitudinally divided along its fibers from the root entry zone, determining good pain relief. The video can be found here: https://youtu.be/o1XksPW5fMY.
在多发性硬化症（MS）患者中，三叉神经痛（TN）是一种难以治疗的综合征，通常对药物治疗和经皮技术无效。尽管经常不存在神经血管冲突，但三叉神经的轴突经常受损，髓鞘永久退化，这就解释了MS中TN治疗的困难。作者阐述了三叉神经束间神经松解术（梳理技术）来控制MS中难治性复发性TN：从神经根入区沿神经纤维纵向分开神经，可有效缓解疼痛。视频链接如下：https://youtu.be/o1XksPW5fMY 。
