目的:观察半月神经节射频热凝对复发型三叉神经痛(TN)的疗效。方法:选择129例TN患者,其中88例为初诊患者(非复发组),41例复发患者(复发组),在数字减影血管造影术(DSA)引导下经皮行穿刺半月节射频热凝手术,比较两组患者入院及术后3 d时...目的:观察半月神经节射频热凝对复发型三叉神经痛(TN)的疗效。方法:选择129例TN患者,其中88例为初诊患者(非复发组),41例复发患者(复发组),在数字减影血管造影术(DSA)引导下经皮行穿刺半月节射频热凝手术,比较两组患者入院及术后3 d时的疼痛强度评分(NRS评分)、疗效及并发症。结果:非复发组与复发组入院及术后3 d NRS评分、疗效评价及并发症比较差异无统计学意义(P<0.05)。结论:半月神经节射频热凝术治疗复发型三叉神经痛具有较好效果。展开更多
BACKGROUND Trigeminal neuralgia(TN) is a severe type of neuropathic pain which is often inadequately managed using conventional therapies. In this report, we present the first case of TN treated with gasserian ganglio...BACKGROUND Trigeminal neuralgia(TN) is a severe type of neuropathic pain which is often inadequately managed using conventional therapies. In this report, we present the first case of TN treated with gasserian ganglion nerve coblation(NC).CASE SUMMARY A 58-year-old man presented with right facial pain, mostly localized in the right zygomatic zone, alveolar region, and jaws. Similar to acupuncture and shock pain, the pain lasted about five seconds after each attack before resolving unaided. A diagnosis of TN was made, after which treatment with acupuncture therapy and oral carbamazepine was given. However, the pain was not satisfactorily controlled. Subsequently, gasserian ganglion NC of the right trigeminal nerve guided by computed tomography(CT) was performed on the patient. Following this procedure, the right zygomatic, alveolar, submandibular,and cheek pain disappeared completely. The right zygomatic and alveolar areas experienced mild numbness(level II). At 1-, 2-, 3-, and 6-mo follow-ups after surgery, the patient was painless and the numbness score was level I.CONCLUSION CT-guided gasserian ganglion(NC) is an effective treatment for TN and is associated with less or no postoperative numbness or hypoesthesia in comparison with current standard-of-care approaches.展开更多
文摘目的:观察半月神经节射频热凝对复发型三叉神经痛(TN)的疗效。方法:选择129例TN患者,其中88例为初诊患者(非复发组),41例复发患者(复发组),在数字减影血管造影术(DSA)引导下经皮行穿刺半月节射频热凝手术,比较两组患者入院及术后3 d时的疼痛强度评分(NRS评分)、疗效及并发症。结果:非复发组与复发组入院及术后3 d NRS评分、疗效评价及并发症比较差异无统计学意义(P<0.05)。结论:半月神经节射频热凝术治疗复发型三叉神经痛具有较好效果。
文摘BACKGROUND Trigeminal neuralgia(TN) is a severe type of neuropathic pain which is often inadequately managed using conventional therapies. In this report, we present the first case of TN treated with gasserian ganglion nerve coblation(NC).CASE SUMMARY A 58-year-old man presented with right facial pain, mostly localized in the right zygomatic zone, alveolar region, and jaws. Similar to acupuncture and shock pain, the pain lasted about five seconds after each attack before resolving unaided. A diagnosis of TN was made, after which treatment with acupuncture therapy and oral carbamazepine was given. However, the pain was not satisfactorily controlled. Subsequently, gasserian ganglion NC of the right trigeminal nerve guided by computed tomography(CT) was performed on the patient. Following this procedure, the right zygomatic, alveolar, submandibular,and cheek pain disappeared completely. The right zygomatic and alveolar areas experienced mild numbness(level II). At 1-, 2-, 3-, and 6-mo follow-ups after surgery, the patient was painless and the numbness score was level I.CONCLUSION CT-guided gasserian ganglion(NC) is an effective treatment for TN and is associated with less or no postoperative numbness or hypoesthesia in comparison with current standard-of-care approaches.
