Petty P G, Southby R, Siu K
Med J Aust. 1980 Feb 23;1(4):166-7. doi: 10.5694/j.1326-5377.1980.tb134736.x.
Fifty patients with trigeminal neuralgia have been operated upon, and the site of origin of the fifth nerve from the pons has been explored. Forty-four of these patients were demonstrated to have vascular compression at this point, and relief of the vascular compression resulted in pain relief in all of these patients, although two patients experienced some recurrence of pain. The maximum follow-up period is now six years. It is considered that the most common cause of trigeminal neuralgia is vascular compression of the fifth nerve at the nerve root entry zone.
五十例三叉神经痛患者接受了手术,并对脑桥处的第五神经起源部位进行了探查。其中44例患者在该部位被证实存在血管压迫,解除血管压迫后所有这些患者的疼痛均得到缓解,尽管有2例患者出现了部分疼痛复发。目前最长随访期为六年。据认为,三叉神经痛最常见的病因是神经根入区处第五神经受到血管压迫。