文摘

三叉神经痛是几秒钟的撕裂的疼痛持续时间由轻微的感官刺激,如来说,咀嚼甚至脸上一阵微风。血管压迫三叉神经根入口区和其他船只已经涉及到其原因。尽管初始治疗的成功在某些情况下,然而,许多病人成为耐火材料随着时间的推移,最终需要手术干预。这份报告描述了一个案件涉及一个62岁的女人面对正确的轨道引发疼痛,等等,锻炼和寒冷。药物被证明是无效的,磁共振成像后,微血管减压手术观察,诊断变得更加清晰。突出术前成像的重要性和注意术中发现确定变异动脉负责三叉神经痛。一个病人出现三叉神经痛伴随着原始三叉动脉(项目前期技术援助)。一个62岁的女人遭受正确轨道疼痛住进了医院。治疗三个月无效,她在上颌神经痛恶化,逐步蔓延。磁共振成像显示流空信号连接到正确的三叉神经。因此,微血管减压。 The superior cerebellar artery was the responsible artery, and it was transposed to decompress the trigeminal nerve. After this manoeuvre, an artery was identified running parallel to the trigeminal nerve toward Meckel’s cave. The artery, which turned out to be a PPTA, communicated with the basilar artery. The PPTA was carefully observed, and it was found not to be the artery causing the neuralgia because it did not compress the nerve at surgical observation. No additional procedure between the PPTA and the trigeminal nerve was performed. The patient’s symptom improved dramatically following surgery, and her postoperative course was uneventful. Postoperative three-dimensional computed tomography showed the PPTA. The findings in the present case suggest that transposition of the responsible artery effectively decompresses the root entry zone and assists in determining whether the PPTA is affecting the trigeminal nerve.