咀嚼肌痉挛的诊疗研究进展  

Recent advance in diagnosis and treatment of hemimasticatory spasm

作　　者：张子豪 刘如恩[1] Zhang Zihao;Liu Ruen(Department of Neurosurgery,People's Hospital of Peking University,Beijing 100044,China)

机构地区：[1]北京大学人民医院神经外科,北京100044

出　　处：《中华神经医学杂志》2022年第2期211-216,共6页Chinese Journal of Neuromedicine

摘　　要：咀嚼肌痉挛(HMS)是一种罕见的由三叉神经运动支功能异常导致咀嚼肌功能紊乱的疾病,与面肌痉挛在症状上相似,但更为罕见,国际范围内迄今仅有数十余例报道。目前,HMS的病因尚未完全明确,其中三叉神经运动支受深部组织或血管压迫导致的脱髓鞘病变是学者们普遍接受的观点。笔者现围绕HMS的病因、临床表现、诊断及鉴别诊断、治疗方案等诊疗相关方面的研究进展进行综述,以期为临床医生更好地鉴别、诊疗该病提供思路。Hemimasticatory muscle spasm(HMS)is a rare disorder of masticatory muscle caused by abnormal motor branch of trigeminal nerve;it is similar to hemifacial muscle spasm in symptoms,but it is even rarer.So far,only dozens of cases have been reported internationally.At present,the etiology of HMS is not completely clear,among which demyelinating lesions caused by compression of the trigeminal nerve motor branch by deep tissues or blood vessels are generally accepted by scholars.Research progresses on the etiology,clinical manifestations,diagnosis,differential diagnosis,and treatment plans of HMS are reported as follows,in order to provide ideas for clinicians to better identify and treat the disease.

关 键 词：咀嚼肌痉挛 临床表现 微血管减压术 

分 类 号：R746[医药卫生—神经病学与精神病学]