"It's better to die" in pain, big energy, Sanbo experts puncture a stitch with a robot to get the first pain in the world

There is a dramatic pain on "above"

The face is like "shock, knife cut" at the time of attack

Especially when eating, brushing teeth, and speaking

It hurts to make you doubt life, "life is better than death" ...

Aunt Huang, 77, just came out of this disease. A few days ago, Guan Yuguang, the director and chief physician of the Sanbo Brain Hospital of the Capital Medical University, Guan Yuguang, the trigeminal neurotoh cylinder compression of Aunt Huang Qiaoqiao, only need a small balloon, just torture Aunt Huang in one need More than 2 years of illness.

I mistake it is "toothache", which is as painful as a knife

Two years ago, Aunt Huang suddenly had pain on the right face. The pain position was concentrated in the right jaw position. When the pain was painful, she couldn't stand it. Aunt Huang thought it was toothache. When I was in pain, I took Kamasi equal painkillers. At the beginning, it was a bit effective. Later, Aunt Huang's face pain became more and more severe, because she couldn't bear it. Aunt Huang went to the local hospital for treatment with "toothache", but the effect was not obvious.

As the frequency of pain is getting higher and higher, the degree of pain is becoming more and more intense. Even the most basic daily life of brushing, eating, drinking water, and speaking. What auntie feels desperate is that taking painkillers at this time are not very useful. "I really wanted to die at the time." Aunt Huang said.

Seeing that Aunt Huang was tortured by the illness, Aunt Huang's daughter was so anxious that she quickly took her to the local hospital for treatment and made a head nuclear magnetic.

The trigeminal neuralgia, because the attack is painful, burns, and electric shocks, which makes people "painless", and is called "the first pain in the world". It is also one of the common cranial neuropathy, which is more common in middle -aged and elderly people. Although this kind of pain is not fatal, it is very stubborn and suddenly onset. After a few seconds to tens of seconds, the arrest is stopped. Frequent severe pain often brings great damage and pain to the physical and mental health of the patient, which seriously affects the patient's life. quality.

"Listening to the doctor said that the trigeminal nerve pain is not good, I quickly took my mother to Beijing." Aunt Huang said that he later inquired and learned that Director Guan Yuguang had rich experience in treating trigeminal nerve pain and was well received by patient She took Aunt Huang to find Director Guan Yuguang.

Trigeminal neuralgia is not "no medicine"

After Director Guan Yuguang took the consultation, he patiently checked Aunt Huang's condition and comprehensive research, and was diagnosed with trigeminal neuralgia. "The trigeminal nerve is the most thick mixed nerve on the face. It is responsible for the movement of the face, oral cavity, nasal cavity, and in front of the tongue and the movement of the chewing muscles, and transmits the sensation of the face to the brain. When the trigeminal nerve is interfered, the area of ​​its tube tube is tube. There will be a short -term and severe pain of repeated attacks, each time the pain lasts several seconds to tens of seconds. "

Director Guan explained that in clinical practice, many patients can use toothache as trigeminal neuralgia. In fact, the two are very different. "Tridental nerve pain is mostly electric shock, knife cutting, tear -like pain, sudden sudden, and there are many" trigger points ", and it will occur when you touch it. Toothache manifests as persistent dull pain or jumping pain, it is limited to the gums. Cold and cold spicy foods can irritate or aggravate toothache. Toothache can be clear through X -ray or CT examination. Like Kamasi equal treatment of neuralgia drugs, it is effective for trigeminal neuralgia and is ineffective for toothache. "

Many people feel that the trigeminal nerve pain is not easy to cure, "no medicine can do medical", which is not the case. At present, the treatment of trigeminal nerve pain in the world has drug treatment and surgical treatment. When the efficacy of drug treatment is reduced or the patient's adverse reaction of drugs that patients cannot withstand, the drug treatment fails, you can consider surgical treatment as soon as possible. "Surgical surgical treatment mainly includes microvascular decompression, gamma knife surgery, radio frequency heating condensation, and tental thorns trigeminal half -moon knot compression surgery."

Small balloon, large energy, robot guidance to get one needle to get trigeminal neuralgia

Considering Aunt Huang's age and weak constitutional factors, Director Guan Yuguang suggested that Aunt Huang implemented "robot guidance of tunnel thorns to penetrate trigeminal half -moon balloon compression surgery".

Director Guan Yuguang explained that a minimally invasive intervention surgery was performed through the thorns trigeminal half -moon knot compression surgery. Without the cranial, it only needed to open a window -sized window on the corner of the patient's mouth. Its principle is to intervene in the trigeminal nerve branch and cut off the conduction of trigeminal nerve sensations, so as to achieve the purpose of analgesic treatment.

It is understood that the compression of the semi -moon knot cystic pardon in the skin is also a relatively advanced method for treating trigeminal nerve pain. Compared with traditional craniotomy, it has less trauma, short treatment time, fast postoperative recovery, relatively effective curative effect is relatively relatively compared The advantages of good and high safety are especially suitable for patients with trigeminal pain that cannot tolerate long -term hemp and can perform craniotomy, weak, aged, or have severe systemic diseases.

After pre -examination and preparation, the Director of Light implemented the "right tental thorns on the right side of the dilateral trigeminal half -moon knot compression surgery" for Aunt Huang. The needle pipe pipe is placed in the trigeminal half -monthly area. At this time, the contrast agent is injected into the balloon. Under the perspective of the C -type arm, the balloon is filled to the "pear -shaped", the balloon is compressed for about 2 minutes. The contrast agent was pulled out, and the puncture needle and the balloon catheter was removed.

Figure 1 The red arrow shows the position of the egg round hole, and the white virtual and real line is the design of the puncture path (the left is a horizontal axis CT, and the picture on the right is a frustrated position CT)

Figure 2 The picture on the left is the surgical robot (red arrow) during the operation, positioning the C -shaped arm (green arrow); the picture on the right is after the puncture (the green arrow is a puncture needle) successfully formed a pear -shaped balloon (red arrow) surgery, yellow Aunt's pain disappeared. "Director Guan Yuguang used 20 minutes to solve the stubborn illness that has troubled my mother for many years!" Aunt Huang said, "And my mother was discharged the next day after the operation, I really thank Director Guan Yuguang!" (Bai Xuanjiao)

Expert introduction

Guan Yuguang

Chief physician, associate professor, master's tutor, deputy director of neurosurgery, functional neurosurgery, director of neurosurgery, director of epilepsy center, director of Parkinson disease diagnosis and treatment center

Professional specialties: epilepsy, children's epilepsy, facial muscle spasm, trigeminal neuralgia, Parkinson, special tremor, Meijie syndrome, muscle tone disorder, dance disease, twitching dirty syndrome, refractory pain, cerebral palsy, plant state to promote the state of plant state The diagnosis and treatment of functional neuropathy and other functional neuropathy; surgical resection of brain tumors, temporal lobe, and hippocampus in the functional area; cerebral hemangioma, nodule sclerosis, sponge -like hemangioma, Rasmussen encephalitis, cortical dysplasia, etc. Surgery for epilepsy.

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