关键词: Intraoperative monitoring Microvascular decompression Trigeminal nerve motor branch Trigeminal neuralgia

Mesh : Trigeminal Neuralgia / surgery Humans Microvascular Decompression Surgery / methods Trigeminal Nerve / surgery Monitoring, Intraoperative / methods Male Female Aged Middle Aged

来  源:   DOI:10.1007/s00701-024-06136-5

Abstract:
Trigeminal neuralgia causes excruciating pain in patients. Microvascular decompression is indicated for drug-resistant s trigeminal neuralgia. Unlike facial spasms, any part of the nerve can be the culprit, not only the root entry zone. Intraoperative monitoring does not yet exist for trigeminal neuralgia. We successfully used intermittent stimulation of the superior cerebellar artery during surgery and confirmed the disappearance of the trigeminal nerve motor branch reaction after the release of the compression. Intermittent direct stimulation of the culprit blood vessel using the motor branch of the trigeminal nerve may assist in intraoperative monitoring of decompression during trigeminal nerve vascular decompression surgery.
摘要:
三叉神经痛引起患者剧烈疼痛。微血管减压术适用于耐药三叉神经痛。不像面部痉挛,神经的任何部分都可能是罪魁祸首,不仅是根入口区域。三叉神经痛的术中监测尚不存在。我们在手术过程中成功地使用了小脑上动脉的间歇性刺激,并证实了释放压迫后三叉神经运动分支反应的消失。使用三叉神经的运动分支对罪犯血管的间歇性直接刺激可能有助于在三叉神经血管减压术中监测减压。
公众号