Marchiori P E, Silva H C, Hirata M T, Lino A M, Scaff M
Departamento de Neurologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo, Brazil.
Occup Med (Lond). 1995 Oct;45(5):276-7. doi: 10.1093/occmed/45.5.276.
A patient accidentally exposed to oven microwaves developed an acute and severe dystrophy and sympathetic reflex of the right hand, a peripheral neuropathy of the digits of the left hand, and a sensory injury of the trigeminal nerve in the right side of the face. The physiopathological involvement in the injury of the peripheral nerve and the failure of analgesia with carbamazepine are emphasized. In this causalgia, relief from pain and modification of the autonomic disorders can be achieved by a sympathetic block.
一名意外暴露于烤箱微波的患者出现了右手急性严重营养不良和交感神经反射、左手手指周围神经病变以及右侧面部三叉神经感觉损伤。强调了周围神经损伤的病理生理机制以及卡马西平镇痛治疗失败的情况。在这种灼性神经痛中,交感神经阻滞可实现疼痛缓解和自主神经紊乱的改善。