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肾移植术后三叉神经痛:一例报告

Post-renal Transplantation Triple Neuralgia: A Case Report.

作者信息

Kalava Arun, Khan Assad A, Mihaylov Simeon V

机构信息

Anesthesiology, University of Central Florida College of Medicine, Orlando, USA.

Medicine, University of Central Florida College of Medicine, Orlando, USA.

出版信息

Cureus. 2023 Nov 27;15(11):e49518. doi: 10.7759/cureus.49518. eCollection 2023 Nov.

Abstract

Renal transplantation is the most common solid organ transplant in the United States. Post-transplant neuralgia is a frequent complication and may be due to infection, medication side effects, post-transplant lymphoproliferative disorder (PTLD), or the procedure itself. This case report describes an instance of post-renal transplant neuralgia in a 70-year-old Caucasian female. Diagnostic nerve blocks revealed the involvement of the ilioinguinal, genitofemoral, and lateral femoral cutaneous nerves. The case report details management that included nerve blocks, radiofrequency ablation (RFA), and a permanent peripheral nerve stimulator (PNS) implant.

摘要

肾移植是美国最常见的实体器官移植。移植后神经痛是一种常见并发症,可能由感染、药物副作用、移植后淋巴细胞增生性疾病(PTLD)或手术本身引起。本病例报告描述了一名70岁白人女性肾移植后神经痛的病例。诊断性神经阻滞显示髂腹股沟神经、生殖股神经和股外侧皮神经受累。该病例报告详细介绍了包括神经阻滞、射频消融(RFA)和永久性外周神经刺激器(PNS)植入在内的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9775/10752802/65610585d1f3/cureus-0015-00000049518-i01.jpg

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