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三叉神经痛:诊断与治疗

Trigeminal Neuralgia: Diagnosis and Treatment.

作者信息

Allam Anthony K, Sharma Himanshu, Larkin M Benjamin, Viswanathan Ashwin

机构信息

Department of Neurosurgery, Baylor College of Medicine, 7200 Cambridge St, Suite 9A, Houston, TX 77030, USA.

Department of Neurosurgery, Baylor College of Medicine, 7200 Cambridge St, Suite 9A, Houston, TX 77030, USA.

出版信息

Neurol Clin. 2023 Feb;41(1):107-121. doi: 10.1016/j.ncl.2022.09.001.

Abstract

Trigeminal neuralgia is characterized classically by recurrent, evocable, unilateral brief, electric, shocklike pains with an abrupt onset and cessation that affects one or more divisions of the trigeminal nerve. In recent years, the classification of trigeminal neuralgia has been updated based on further understanding. In this manuscript, the authors aim to explain the current understanding of the pathophysiology of trigeminal neuralgia, current diagnosis criteria, and the pharmacologic management and surgical treatments of options currently available.

摘要

三叉神经痛的典型特征是反复发作、可诱发的单侧短暂、电击样、突发突止的疼痛,累及三叉神经的一个或多个分支。近年来,基于进一步的认识,三叉神经痛的分类已得到更新。在本手稿中,作者旨在解释目前对三叉神经痛病理生理学的认识、当前的诊断标准以及目前可用的药物治疗和手术治疗选择。

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