脑梗死后脑干刺激治疗三叉神经痛 1 例报告。
Motor cortex stimulation for the treatment of trigeminal neuralgia after brainstem infarction: A case report.
机构信息
Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha 410008, China.
出版信息
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2024 Jan 28;49(1):54-57. doi: 10.11817/j.issn.1672-7347.2024.230233.
Abstract
Secondary trigeminal neuralgia after brainstem infarction is rare and rarely reported. A patient with secondary trigeminal neuralgia after brainstem infarction was admitted to the Department of Neurosurgery, Xiangya Hospital, Central South University. The patient was a 44 years old male who underwent motor cortex stimulation treatment after admission. The effect was satisfactory in the first week after surgery, but the effect was not satisfactory after one week. This disease is relatively rare and the choice of clinical treatment still requires long-term observation.
摘要
脑干梗死继发三叉神经痛罕见，鲜有报道。中南大学湘雅医院神经外科收治 1 例脑干梗死继发三叉神经痛患者，患者为男性，44 岁，入院后行运动皮质刺激治疗，术后第 1 周效果满意，1 周后效果欠佳。本病较为罕见，临床治疗选择仍需长期观察。
相似文献
1
Motor cortex stimulation for the treatment of trigeminal neuralgia after brainstem infarction: A case report.脑梗死后脑干刺激治疗三叉神经痛 1 例报告。
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2024 Jan 28;49(1):54-57. doi: 10.11817/j.issn.1672-7347.2024.230233.
2
Trigeminal neuralgia due to pontine infarction.桥脑梗死所致三叉神经痛
Headache. 2004 Nov-Dec;44(10):1043-5. doi: 10.1111/j.1526-4610.2004.4200_1.x.
3
Neurogenic pain relief by repetitive transcranial magnetic cortical stimulation depends on the origin and the site of pain.通过重复经颅磁皮层刺激缓解神经源性疼痛取决于疼痛的起源和部位。
J Neurol Neurosurg Psychiatry. 2004 Apr;75(4):612-6. doi: 10.1136/jnnp.2003.022236.
4
Treatment of Central Deafferentation and Trigeminal Neuropathic Pain by Motor Cortex Stimulation: Report of a Series of 20 Patients.运动皮层刺激治疗中枢性传入神经阻滞和三叉神经痛性疼痛：20例病例系列报告
J Neurol Surg A Cent Eur Neurosurg. 2016 Jan;77(1):52-8. doi: 10.1055/s-0035-1558419. Epub 2015 Sep 9.
5
Secondary Trigeminal Neuralgia: Do Not Forget the Pontine Ischemic Infarction.
Eur Neurol. 2021;84(5):391-392. doi: 10.1159/000517361. Epub 2021 Jul 1.
6
Brainstem Infarction Presenting with Trigeminal Neuralgia and Bell's Palsy.
Am J Med. 2023 Jan;136(1):e9. doi: 10.1016/j.amjmed.2022.08.036. Epub 2022 Sep 23.
7
Motor cortical stimulation for the treatment of trigeminal neuropathic pain secondary to an arteriovenous malformation. A case report.运动皮质刺激治疗动静脉畸形继发三叉神经病理性疼痛。病例报告。
Rev Fac Cien Med Univ Nac Cordoba. 2023 Sep 29;80(3):275-288. doi: 10.31053/1853.0605.v80.n3.41142.
8
Optogenetic stimulation of the motor cortex alleviates neuropathic pain in rats of infraorbital nerve injury with/without CGRP knock-down.光遗传学刺激运动皮层可减轻眶下神经损伤大鼠的神经性疼痛，无论是否存在 CGRP 敲低。
J Headache Pain. 2020 Aug 26;21(1):106. doi: 10.1186/s10194-020-01174-7.
9
Trigeminal neuralgia due to pontine infarction.
Neurology. 2006 Jan 10;66(1):48. doi: 10.1212/01.wnl.0000190260.41691.6d.
10
Transient magnetic resonance imaging signal alterations in the brainstem after microvascular decompression for trigeminal neuralgia: case report.
Neurosurgery. 2004 Oct;55(4):987. doi: 10.1227/01.neu.0000137328.12536.bf.
本文引用的文献
1
Stereotactic Radiosurgery for Medically Refractory Trigeminal Neuralgia Secondary to Stroke: A Systematic Review and Clinical Case Presentation.
World Neurosurg. 2023 Nov;179:e366-e373. doi: 10.1016/j.wneu.2023.08.092. Epub 2023 Aug 26.
2
Trigeminal neuralgia induced by brainstem infarction treated with pontine descending tractotomy: illustrative case.经脑桥下行束切断术治疗脑干梗死所致三叉神经痛：病例说明
J Neurosurg Case Lessons. 2021 Jun 28;1(26):CASE21109. doi: 10.3171/CASE21109.
3
Motor Cortex Stimulation for Facial Pain.电机皮层刺激治疗面痛。
Prog Neurol Surg. 2020;35:162-169. doi: 10.1159/000509909. Epub 2020 Sep 29.
4
Motor Cortex Stimulation for Deafferentation Pain.运动皮层刺激治疗去传入性疼痛。
Curr Pain Headache Rep. 2018 May 23;22(6):45. doi: 10.1007/s11916-018-0697-1.
5
Efficacy of motor cortex stimulation for intractable central neuropathic pain: comparison of stimulation parameters between post-stroke pain and other central pain.运动皮层刺激治疗顽固性中枢神经性疼痛的疗效：中风后疼痛与其他中枢性疼痛之间刺激参数的比较
Neurol Med Chir (Tokyo). 2011;51(1):8-14. doi: 10.2176/nmc.51.8.
6
Secondary trigeminal neuropathy and neuralgia resulting from pontine infarction.桥脑梗死所致的继发性三叉神经神经病和神经痛。
J Stroke Cerebrovasc Dis. 2010 May;19(3):251-252. doi: 10.1016/j.jstrokecerebrovasdis.2009.04.005.
7
Descending volleys generated by efficacious epidural motor cortex stimulation in patients with chronic neuropathic pain.有效硬膜外运动皮层刺激在慢性神经性疼痛患者中产生的下行投射。
Exp Neurol. 2010 Jun;223(2):609-14. doi: 10.1016/j.expneurol.2010.02.008. Epub 2010 Feb 24.
8
Motor cortex stimulation for pain control induces changes in the endogenous opioid system.运动皮层刺激用于疼痛控制可引起内源性阿片系统的变化。
Neurology. 2007 Aug 28;69(9):827-34. doi: 10.1212/01.wnl.0000269783.86997.37.
9
Motor cortex stimulation for refractory neuropathic pain: four year outcome and predictors of efficacy.运动皮层刺激治疗难治性神经性疼痛：四年随访结果及疗效预测因素
Pain. 2005 Nov;118(1-2):43-52. doi: 10.1016/j.pain.2005.07.020. Epub 2005 Oct 7.
10
Linear pontine and trigeminal root lesions and trigeminal neuralgia.线性脑桥和三叉神经根病变与三叉神经痛。
Arch Neurol. 2001 Aug;58(8):1311-2. doi: 10.1001/archneur.58.8.1311.
Zotero 插件