颈外动脉支架置入术后特发性三叉神经痛一例  

Idiopathic trigeminal neuralgia after external carotid artery stenting:a case report

作　　者：何建霄 李薪阳 孙起军 毛明利 He Jianxiao;Li Xinyang;Sun Qijun;Mao Mingli(Capital Medical University Yanjing Medical College,Beijing 101300,China)

机构地区：[1]首都医科大学燕京医学院,北京101300 [2]首都医科大学密云教学医院神经外科

出　　处：《中国脑血管病杂志》2024年第8期537-540,共4页Chinese Journal of Cerebrovascular Diseases

基　　金：首都医科大学本科生科研项目2024年度燕京医学院学生科研训练资助项目(XSKY2024472)

摘　　要：三叉神经痛(TN)是临床中较为常见的神经系统疾病,常给患者带来难以忍受的疼痛。作者报道1例颈外动脉支架置入术后发生特发性TN患者的诊治经过并分析其疼痛病因,考虑与上颌动脉血流改善后压迫冲击三叉神经有关。应用卡马西平治疗后患者TN有效缓解,出院1周后随访未诉其他不适,TN控制良好。国内外尚未见相关报道,故报道该病例供临床医师参考与讨论。Trigeminal neuralgia(TN)is a common neurological disease in clinical practice,which often causes unbearable pain to patients.This paper reported a rare case of idiopathic TN after external carotid artery stenting(ECAS)and analyzed the cause.It is considered to be related to the compression and impact to the trigeminal nerve from the blood flow of the maxillary artery which had been improved after ECAS.TN was effectively relieved after treatment with carbamazepine,and not any discomfort was observed at 1-week follow-up after discharge.Currently,TN of this patient has been well controlled.Since there are no any relevant reports in clinical practice,this case report is provided to clinical physicians for reference and discussion.

关 键 词：颈外动脉狭窄 颈动脉支架置入术 三叉神经痛 治疗 

分 类 号：R745.11[医药卫生—神经病学与精神病学]