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6岁即发三叉神经痛——小脑血管变异为病因

2013-07-19 驻地记者伍西明 通讯员罗闻 汪挺舰 中国医学论坛报

       三叉神经痛多发于成年女性,但1例27岁女性自6岁发病以来,已被三叉神经痛折磨了21年。近日,湘雅医院功能神经外科杨治权教授等,为患者成功实施了开颅探查微血管减压术,彻底解除了患者右侧面部刀割般疼痛感。   患者6岁起便莫名地感到右侧面部一阵阵地出现针扎般疼痛,后被诊断为右侧三叉神经痛,曾接受卡马西平等止痛药和射频消融手术治疗。但术后3年疼痛再次来袭时,疼痛发作频率和强度明

  小脑血管变异,女孩6岁即发三叉神经痛  

  三叉神经痛多发于成年女性,但1例27岁女性自6岁发病以来,已被三叉神经痛折磨了21年。近日,湘雅医院功能神经外科杨治权教授等,为患者成功实施了开颅探查微血管减压术,彻底解除了患者右侧面部刀割般疼痛感。

  患者6岁起便莫名地感到右侧面部一阵阵地出现针扎般疼痛,后被诊断为右侧三叉神经痛,曾接受卡马西平等止痛药和射频消融手术治疗。但术后3年疼痛再次来袭时,疼痛发作频率和强度明显增加,每次持续时间甚至超过2分钟。杨治权等在术中发现,患者小脑上动脉在三叉神经下方明显变异,并且严重挤压三叉神经使之变形。术者通过精细操作,为患者解除了病痛。  

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    2016-10-05 1e0d99ddm02(暂无匿称)

    射频消融术效果很好!

    0

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    2016-10-05 1e0d99ddm02(暂无匿称)

    学习了,分享一下!

    0

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  6. [GetPortalCommentsPageByObjectIdResponse(id=140612, encodeId=c45d1406120d, content=射频消融术效果很好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Wed Oct 05 21:30:26 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=140611, encodeId=cd9d14061187, content=学习了,分享一下!, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Wed Oct 05 21:28:20 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1739244, encodeId=cc8c1e39244fd, content=<a href='/topic/show?id=6a9f1959e07' target=_blank style='color:#2F92EE;'>#三叉神经#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19597, encryptionId=6a9f1959e07, topicName=三叉神经)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=19e234497376, createdName=小华子, createdTime=Thu Jan 02 10:14:00 CST 2014, time=2014-01-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1342278, encodeId=4eec13422e894, content=<a href='/topic/show?id=34cb381023e' target=_blank style='color:#2F92EE;'>#变异#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=38102, encryptionId=34cb381023e, topicName=变异)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=78c32500188, createdName=12498dabm77暂无昵称, createdTime=Sun Jul 21 14:14:00 CST 2013, time=2013-07-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1410742, encodeId=4e0d1410e4282, content=<a href='/topic/show?id=7dad19600f8' target=_blank style='color:#2F92EE;'>#三叉神经痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19600, encryptionId=7dad19600f8, topicName=三叉神经痛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f67c2785166, createdName=yangeasy, createdTime=Sun Jul 21 14:14:00 CST 2013, time=2013-07-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1540797, encodeId=a9801540e9709, content=<a href='/topic/show?id=ac8de440615' target=_blank style='color:#2F92EE;'>#神经痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74406, encryptionId=ac8de440615, topicName=神经痛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0d8213287489, createdName=贵阳, createdTime=Sun Jul 21 14:14:00 CST 2013, time=2013-07-21, status=1, ipAttribution=)]
    2013-07-21 贵阳
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