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磁共振成像评价颅神经血管压迫综合征研究进展

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颅神经血管压迫综合征常见的表现有三叉神经痛(trigeminal neuralgia,TN)、面肌痉挛(hemifacial spasm,HFS)等,卡马西平和奥卡西平是长期治疗的首选药物,而微血管减压术(microvacular decompression,MVD)是难治性患者的一线手术,是解除血管压迫神经的有效方式.术前磁共振成像可以观察受累神经的解剖结构、责任血管的来源及状态,显示血管与神经的走行关系.使用特定的磁共振序列作为颅神经血管压迫综合征诊断检查的一部分,可以检测可能的神经血管接触并排除继发原因,同时神经血管接触的证明可用于促进手术决策.本文基于磁共振成像对颅神经血管压迫综合征相关病理机制、临床表现、解剖基础及高分辨率磁共振成像序列和多模态交互式磁共振成像技术研究进展进行综述,旨在为临床诊治提供影像学依据,为患者减轻病痛,减少术中并发症发生,改善患者预后.
Research Progress in Magnetic Resonance Imaging Evaluation of Cranial Neurovascular Compression Syndrome
Common manifestations of cranial neurovascular compression syndrome include trigeminal neuralgia(TN),hemifacial spasm(HFS),etc.Carbamazepine and Oxamazepine are the first choice for long-term treatment.Microvacular decompression(MVD)is the first-line surgery for refractory patients and is an effective way to relieve blood vessel pressure on nerves.Preoperative magnetic resonance imaging can observe the anatomical structure of the involved nerve,the source and status of the responsible blood vessels,and show the relationship between blood vessels and nerves.Using specific magnetic resonance sequences as part of the diagnostic examination for cranial neurovascular compression syndrome can detect possible neurovascular contact and rule out secondary causes,while proof of neurovascular contact can be used to facilitate surgical decision making.Based on magnetic resonance imaging,this paper reviews the pathological mechanism,clinical manifestations,anatomical basis and research progress of high-resolution magnetic resonance imaging sequences and multi-modal interactive magnetic resonance imaging technology related to cranial neurovascular compression syndrome,aiming to provide imaging basis for clinical diagnosis and treatment,alleviate pain for patients,reduce intraoperative complications,and improve patient prognosis.

Cranial neurovascular compression syndromeHemifacial spasmTrigeminal neuralgiaMicrovascular decompression

冯晨、刘政、宫雪梅、张晓鹏、毕博昊、程琳、穆实、朱敏

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牡丹江医学院 黑龙江 牡丹江 157011

牡丹江医学院附属红旗医院磁共振室 黑龙江 牡丹江 157011

颅神经血管压迫综合征 面肌痉挛 三叉神经痛 微血管减压术

黑龙江省省属高等学校基本科研项目

2021-KYYWF-0497

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(20)
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