摘要
目的探讨原发性三叉神经痛、面肌痉挛、舌咽神经痛及原发性高血压病发病的机制。方法报告1例行显微外科手术治疗的男性病人,并结合文献进行分析。结果该病例与相应脑神经根部动脉性压迫和蛛网膜增厚、黏连之间存在因果关系。行显微血管减压术及神经根选择性切断术后即刻及随访期间,病人三叉神经痛、面肌痉挛、舌咽神经痛均消失,血压恢复正常,无特殊并发症发生。结论同侧原发性三叉神经痛、面肌痉挛、舌咽神经痛及原发性高血压病极为罕见,其与脑神经根部血管压迫和蛛网膜增厚、黏连之间具有一定的因果关系;显微血管减压术并神经根选择性切断术是有效的治疗方法。
Objective To study pathogenic mechanism, treatment and prognosis of coexistent trigeminal neuralgia, hemifacial spasm, glossopharyngeal neuralgia and primary hypertension. Methods A case of male patient treated by microsurgical procedures was analyzed with review of the related literatures. Results There was causal relation between the symptoms （trigeminal neuralgia, hemifacial spasm, glossopharyngeal neuralgia, and primary hypertension） and both arterial compression on cranial nerve root exit or entry zone and arachnoid membrane thickening. The symptoms of trigeminal neuralgia, hemifacial spasm, glossopharyngeal neuralgia disappeared and normal blood pressure was observed immediately and during follow-up period after microvascular decompression and selective neurotomy of nerve roots. No complication occurred. Conclusion The coexistent trigeminal neuralgia, hemifacial spasm, glossopharyngeal neuralgia and primary hypertension in one patient is rather rare, and there is a causal relation between both vascular compression and arachnoid membrane thickening and the symptoms. Microvascular decompression and selective neurotomy of the cranial nerve roots are effective.
出处
《中国微侵袭神经外科杂志》
CAS
2007年第9期394-395,共2页
Chinese Journal of Minimally Invasive Neurosurgery
关键词
三叉神经痛
面部单侧痉挛
舌咽神经疾病
高血压
显微血管减压术
trigeminal neuralgia
hemifacial spasm
glossopharyngeal nerve disease
hypertension
microvascular decompression
