三叉神经痛患者经皮穿刺球囊压迫术后并发咀嚼肌萎缩:1例报道
Masticatory muscle atrophy after percutaneous balloon compression for trigeminal neuralgia:a case report
田德民 1于建波 2鞠衍馨3
作者信息
- 1. 山东大学附属威海市立医院疼痛科,山东省威海市 264200
- 2. 山东大学附属威海市立医院康复医学科,山东省威海市 264200
- 3. 解放军联勤保障部队第九七○医院麻醉科,山东省威海市 264200
- 折叠
摘要
本文报道1例三叉神经痛(TN)行经皮穿刺球囊压迫术(PBC)治疗的患者,术后疼痛消失.术后18个月出现治疗侧颧骨下凹陷,张口、对齿及咬合功能无明显异常.咀嚼肌萎缩是PBC较少见的并发症,三叉神经运动支神经源性损伤以及废用性肌萎缩是其主要致病原因,咀嚼肌功能锻炼及针刺、电针等物理治疗有助于促进患者咀嚼肌功能的恢复.
Abstract
The patient received percutaneous balloon compression(PBC)for trigeminal neuralgia(TN)and the pain disappeared after the therapy,but the masticatory muscle atrophy appeared on the treatment side after 18 months,with no obviously abnormalities in mouth opening and occlusal function.Masticatory muscle atrophy was a rare complication after PBC,which was mainly related to neurogenic injury of the trigeminal motor branch and muscle atrophy of disuse.The exercise of masticatory muscle functional and physical therapy such as acupuncture and electroacupuncture can promote the recovery of masticatory muscle function.
关键词
三叉神经痛/经皮球囊压迫/萎缩,咀嚼肌Key words
Trigeminal neuralgia/Percutaneous balloon compression/Atrophy,masticatory muscle引用本文复制引用
出版年
2024
NETL
NSTL
万方数据