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经皮高位颈脊髓刺激治疗难治性三叉神经痛

Percutaneous high cervical spinal cord stimulation for refractory trigeminal neuralgia.

作者信息

Edelbach Brandon Michael, Lopez-Gonzalez Miguel Angel

机构信息

Department of Neurosurgery, School of Medicine, Loma Linda University, Loma Linda, California, United States.

Department of Neurosurgery, Loma Linda University School of Medicine, Loma Linda, California, United States.

出版信息

Surg Neurol Int. 2023 Jun 8;14:198. doi: 10.25259/SNI_60_2023. eCollection 2023.

DOI:10.25259/SNI_60_2023
PMID:37404520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10316136/
Abstract

BACKGROUND

Trigeminal neuralgia (TN) is a debilitating pain that affects the dermatomes associated with the trigeminal nerve (V1, V2, and V3). Unfortunately, many medical treatments and surgical procedures fail to sufficiently modulate the pain associated with this condition.

CASE DESCRIPTION

This study presents two extreme cases of refractory TN (RTN) that progressed to atypical facial pain and describes successful mitigation of the neuralgia of said cases by percutaneous implantation of upper cervical spinal cord stimulation (SCS). The SCS was designed to target the descending spinal trigeminal tract.

CONCLUSION

Together, these cases collaborate with the limited literature and further delineate the use and potential advantages of SCS in the treatment of RTN.

摘要

背景

三叉神经痛（TN）是一种使人衰弱的疼痛，影响与三叉神经相关的皮节（V1、V2和V3）。不幸的是，许多医学治疗和外科手术未能充分调节与这种疾病相关的疼痛。

病例描述

本研究呈现了两例难治性三叉神经痛（RTN）进展为非典型面部疼痛的极端病例，并描述了通过经皮植入颈上脊髓刺激（SCS）成功缓解所述病例神经痛的情况。SCS旨在靶向脊髓三叉神经下行束。

结论

这些病例共同补充了有限的文献，并进一步阐明了SCS在治疗RTN中的应用及潜在优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4ee/10316136/174de97ede89/SNI-14-198-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4ee/10316136/a3b31fe66e14/SNI-14-198-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4ee/10316136/efad117012a4/SNI-14-198-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4ee/10316136/f7f653d6b00b/SNI-14-198-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4ee/10316136/5e221729ff0e/SNI-14-198-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4ee/10316136/174de97ede89/SNI-14-198-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4ee/10316136/a3b31fe66e14/SNI-14-198-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4ee/10316136/efad117012a4/SNI-14-198-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4ee/10316136/f7f653d6b00b/SNI-14-198-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4ee/10316136/5e221729ff0e/SNI-14-198-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4ee/10316136/174de97ede89/SNI-14-198-g005.jpg

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Front Neurol. 2021 Sep 30;12:738032. doi: 10.3389/fneur.2021.738032. eCollection 2021.
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Effectiveness of high-frequency cervical spinal cord stimulation in the treatment of refractory trigeminal neuropathy: A case report.高频颈脊髓刺激治疗难治性三叉神经病变的有效性：一例报告。
Medicine (Baltimore). 2020 Oct 2;99(40):e22304. doi: 10.1097/MD.0000000000022304.
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