三叉神经痛和面肌痉挛的显微血管减压术
Microsurgical Vascular Decompression for Trigeminal Neuralgia and Hemifacial Spasm.
作者信息
Wilson C B, Yorke C, Prioleau G
出版信息
West J Med. 1980 Jun;132(6):481-7.
Abstract
Vascular cross-compression of cranial nerves has been proposed as the cause of cranial neuropathies, including trigeminal neuralgia and hemifacial spasm. Over the last decade we have used microsurgical vascular decompression to treat these two disorders. Results in 50 patients treated for trigeminal neuralgia have been excellent in 42, good in 5 and poor in 2; and 1 patient was cured after a second operation. Results in 22 patients treated for hemifacial spasm have been excellent in 18, good in 2 and fair in 1. One patient died. There were no late recurrences of symptoms. The pathophysiological mechanisms of trigeminal neuralgia and hemifacial spasm remain unknown.
摘要
颅神经的血管交叉压迫已被认为是包括三叉神经痛和半面痉挛在内的颅神经病变的病因。在过去十年中，我们采用显微外科血管减压术治疗这两种疾病。50例接受三叉神经痛治疗的患者中，42例效果极佳，5例良好，2例较差；1例患者在二次手术后治愈。22例接受半面痉挛治疗的患者中，18例效果极佳，2例良好，1例尚可。1例患者死亡。症状无晚期复发。三叉神经痛和半面痉挛的病理生理机制仍不清楚。
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Microsurgical treatment of hermifacial spasm.半面痉挛的显微外科治疗。
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A comparision of percutaneous radiofrequency trigeminal neurolysis and microvascular decompression of the trigeminal nerve for the treatment of tic douloureux.
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