Microvascular Decompression for Trigeminal Neuralgia Caused by Vascular Compression on the Trigeminal Sensory Nucleus and Descending Trigeminal Tract

微血管减压术 三叉神经痛 医学 三叉神经 感觉减退 麻醉 三叉神经脊核 外科 伤害 解剖 内科学 受体
作者
Mehdi Khaleghi,Lucas P. Carlstrom,Michele Weber,Chandrima Biswas,Brian Dalm,Daniel M. Prevedello
出处
期刊:World Neurosurgery [Elsevier]
卷期号:183: 106-112
标识
DOI:10.1016/j.wneu.2023.12.087
摘要

Trigeminal neuralgia (TN) is characterized by paroxysmal episodes of severe shocklike orofacial pain typically resulting from arterial compression on the trigeminal root entry zone. However, neurovascular conflict in more proximal parts of the trigeminal pathway within the pons is extremely rare. The authors present a case of microvascular decompression for TN caused by dual arterial compression on the dorsolateral pons, along with a brief literature review. Our patient was a 74-year-old man with episodic left-sided facial stabbing pain. Brain magnetic resonance imaging revealed a dual arterial compression on dorsolateral pons, the known site of the trigeminal sensory nucleus and descending trigeminal tract. Microvascular decompression was performed via a retrosigmoid approach. Complete pain relief and partial improvement of the facial hypesthesia were achieved immediately after surgery and the Barrow Neurological Institute (BNI) pain intensity score improved from V to I, and the BNI hypesthesia score decreased from III to II within a month following surgery. The literature review identified 1 case of TN secondary to an arteriovenous malformation in root entry zone with lateral pontine extension. One month following partial coagulation of the draining vein, the patient was reportedly able to reduce medication dosage by half to achieve an improvement of BNI pain intensity score from V to IIIa. Neurovascular compression in the trigeminal tract and nucleus is a rare but potential cause of TN. A thorough investigation of the trigeminal pathway should be considered during preoperative evaluation and intraoperative inspection, particularly if no clear offending vessel is identified.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
yao完成签到,获得积分10
2秒前
3秒前
小不溜发布了新的文献求助10
3秒前
无花果应助大树2.0采纳,获得10
6秒前
ssos完成签到,获得积分10
7秒前
7秒前
怕孤单的听寒完成签到,获得积分10
8秒前
普雅花的等待完成签到,获得积分20
10秒前
10秒前
10秒前
科研通AI2S应助lushanxihai采纳,获得10
10秒前
wanci应助左幻竹采纳,获得10
10秒前
ssos发布了新的社区帖子
11秒前
梁小米完成签到,获得积分10
12秒前
13秒前
Hello应助深情的笑寒采纳,获得10
13秒前
英姑应助左丘冥采纳,获得10
13秒前
15秒前
shen发布了新的文献求助20
16秒前
馒头完成签到 ,获得积分10
16秒前
Foremelon发布了新的文献求助10
17秒前
victorchen完成签到,获得积分10
17秒前
17秒前
18秒前
19秒前
20秒前
学术射手完成签到,获得积分10
22秒前
22秒前
无限代玉发布了新的文献求助10
22秒前
大树2.0发布了新的文献求助10
22秒前
h嘿完成签到,获得积分10
23秒前
24秒前
纸飞机发布了新的文献求助10
25秒前
一已仪艺发布了新的文献求助10
25秒前
从容芮应助是是是咯采纳,获得20
26秒前
27秒前
28秒前
深情的笑寒完成签到,获得积分10
28秒前
29秒前
gzsy完成签到,获得积分10
29秒前
高分求助中
Evolution 10000
Becoming: An Introduction to Jung's Concept of Individuation 600
Ore genesis in the Zambian Copperbelt with particular reference to the northern sector of the Chambishi basin 500
A new species of Coccus (Homoptera: Coccoidea) from Malawi 500
A new species of Velataspis (Hemiptera Coccoidea Diaspididae) from tea in Assam 500
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 500
The Kinetic Nitration and Basicity of 1,2,4-Triazol-5-ones 440
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3164013
求助须知:如何正确求助?哪些是违规求助? 2814801
关于积分的说明 7906532
捐赠科研通 2474357
什么是DOI,文献DOI怎么找? 1317472
科研通“疑难数据库(出版商)”最低求助积分说明 631769
版权声明 602198