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成功运用单侧腹口(Vo)丘脑切开术治疗伴有复杂区域疼痛综合征的外周创伤后肌张力障碍:一例报告

Successful Unilateral Ventro-Oral (Vo) Thalamotomy for Peripheral Post-traumatic Dystonia With Complex Regional Pain Syndrome: A Case Report.

作者信息

Kuramoto Yoji, Taira Takaomi, Tsuji Shoichiro, Kubo Takanori, Yoshimura Shinichi

机构信息

Neurosurgery, Hyogo Medical University, Nishinomiya, JPN.

Functional Neurosurgery, Kumagaya General Hospital, Kumagaya, JPN.

出版信息

Cureus. 2025 May 5;17(5):e83536. doi: 10.7759/cureus.83536. eCollection 2025 May.

Abstract

Peripheral post-traumatic dystonia (PPD) and complex regional pain syndrome (CRPS) are both challenging conditions often stemming from trauma and, in some cases, coexisting. This complexity complicates diagnosis and treatment approaches. A case involving a woman in her 40s highlighted this issue - after a hand injury, she suffered from deformities and pain. Standard treatments were ineffective, but ventro-oral (Vo) thalamotomy brought significant symptom relief. Despite this success, treating PPD, especially when mixed with CRPS, remains difficult, and tailored approaches are crucial. Further research is essential to better understand and manage these conditions.

摘要

外周创伤后肌张力障碍(PPD)和复杂性区域疼痛综合征(CRPS)都是具有挑战性的病症,通常源于创伤,在某些情况下会同时存在。这种复杂性使诊断和治疗方法变得复杂。一名40多岁女性的病例凸显了这一问题——手部受伤后,她出现了畸形和疼痛。标准治疗方法无效,但腹侧口腔(Vo)丘脑切开术显著缓解了症状。尽管取得了这一成功,但治疗PPD,尤其是与CRPS混合存在时,仍然很困难,量身定制的方法至关重要。进一步的研究对于更好地理解和管理这些病症至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c96b/12140375/3537921db48f/cureus-0017-00000083536-i01.jpg

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