It hurts to speak!The old lady trigeminal pain is so painful to doubt life, experts help him to relieve the pain

In the past two years, Grandma Metropolitan in Henan District has been painful: the left face and jaws suddenly have a sharp pain several times every day, and the knife cuts several times, and the attacks are becoming more and more frequent.

This made her dare not speak, dare to eat, dare to drink water, and dare not wash her face and brush her teeth.

Because I dare not eat, Grandma Yu is also getting thinner and anemia.

After seeing many hospitals, from the dental department to neurology to neurosurgery, we realized that what I got was a disease called "trigeminal neuralgia".

After receiving her grandmother, the chief physician of Sun Xuezhi, a neurosurgery area in Yiyang Central Hospital, immediately entered her into the hospital to improve the magnetic resonance god through the vascular imaging, etc., and the magnetic resonance clearly showed that Grandma's tortuous cerebral cerebral arteries compressed the trigeminal nerves.

These images show the cause of Grandma Diger's Trigema neuralgia, and also suggesting that the use of microvascular degradation will achieve good results.

Director Xiong Ming organized the general discussion of the whole science, thinking that Grandma Yu's current cause was clear and the drug treatment effect was not good. Grandma Yu eagerly hoped to completely solve the problem of facial pain and minimize the possibility of recurrence.

The hospital's neurosurgery is a provincial key discipline of clinical clinical disciplines. Micro surgery operation technology is mature. Microchasis under micro -vascular decompression surgery has the advantages of small trauma, low recurrence rate, and small complications. Essence

After careful consideration, combined with the wishes of patients and their families, it was decided to decompress the trigeminal nerve microvascular microvascular micro -vascular.

After the detailed examination and film of the chief physician of Sun Xuezhi and the deputy chief physician Chen Jingqi, he formulated a fine surgical plan for the patient. The surgery was very smooth that day, and the pain of grandma after surgery was completely relieved.

On the second day after the operation, Grandma Yu could get out of bed. Eating, speaking, and sleeping were not affected. The spirit was better one day after day. Grandma Yu finally showed a long -lost smile on her face.

What is trigeminal neuralgia?

The trigeminal nerves are a pair of mixed nerves, which can not only feel the head and face, but also the mouth and chewing exercise.

With the increase of age, the pedantic blood vessels may compress the trigeminal nerve Rez region, long -term pulsation compression, changing the potential activity of the trigeminal nerve.

Depending on the cause, the trigeminal nerve pain is divided into two categories.

One is secondary trigeminal pain, which is a secondary trigeminal nerve damage caused by various organic diseases in the intracranial and outside.

Another type is called primary trigeminal neuralgia, which refers to a disease that is short -term severe pain in the trigeminal nerve distribution area, and a disease that can be found in clinically without organic damage. Most of our common trigeminal neuralgia patients belong to this one. kind.

Features of trigeminal neuralgia

1. People over 40 years old;

2. There are more female patients than men;

3. Most of the typical facial and mandibular pain, severe pain, painful pain, lasting for 1 to 5 minutes, it is normal when it is not on the attack;

4. The frequency and severity of the pain of pain gradually increase;

5. The effect of drug treatment decreases with the progress of the disease.

Teminar for trigeminal neuralgia

The treatment of secondary trigeminal neuralgia is mainly to treat primary diseases, such as tumor slicing of tumor tumors, and dental caries caused by dental caries.

The most common clinical is primary trigeminal neuralgia. Generally speaking, there is the following treatment methods.

1. Drug treatment

When the patient is diagnosed with trigeminal neuralgia, the first use is often drug treatment. Most of the early trigeminal nerve pain can be relieved by the drug, and the initial effect is acceptable.

If the treatment effect is not good, or the curative effect is reduced, or the side effects that cannot be tolerated, surgical treatment can be considered.

2. Nervous block or damage treatment

Trigeminal nerve pain closed therapy: refers to the use of chemical drugs (water -free alcohol or glycerin, etc.) injected in the involved trigeminal branches, dry nerves, or half -moon ganglia. The conductive function makes it feels lost in the nerve distribution area, thereby achieving the purpose of analgesic.

Closed treatment operation is simple and convenient, and the short -term effect is better. Although it is easy to relapse, closed treatment is still one of the ways to treat trigeminal neuralgia.

Trigeminal nerve pain radio frequency fever: Different nerves have different sensitivity to radio frequency current and calories. According to this characteristic, different currents are used to generate different currents to selectively destroy the fiber of pain in the trigeminal nerve. Fiber, to relieve pain, and partially retains the purpose of touch.

However, it may recur in about 2-5 years, and some patients still have a numbness on the face.

Trigeminal balloon compression: The surgery is performed under the general anesthesia. Under the guidance of the C arm, the balloon is placed in the MECHEL's cavity of the trigeminal half -monthly semi -monthly semi -monthly cavity through the puncture needle. The effect of trigeminal neuralgia.

Its mechanism is to be destroyed by mechanical compression of neurons. Clinical complications are mainly reduced. The reason is that the balloon compression surgery is low, and all three branches are oppressed.

The two treatments of radio frequency heating and balloon compression are the characteristics of simple operation, short operation time and hospitalization time.

It is suitable for those who are invalid or tolerance for drugs for drug treatment or tolerance, or those who are poor or general, and cannot tolerate skull surgery.

3. Microbial decompression surgery treatment

The craniotomy -displayed microvascular decompression surgery is the only surgical method for treating the cause of the cause, and it is currently internationally recognized the preferred surgical treatment method. Its main advantage is that the condition can be controlled for a long time, with an effective rate of 90%-98%, low recurrence rate, small damage, and because of no damage to the nerve structure, there is almost no loss of loss (face numb) after surgery.

It has the characteristics of minimally invasive, effective, and complications.

Through surgery, the trigeminal nerve isolates from the blood vessels, so that the blood vessels will no longer compress the trigeminal nerves, and the excitement of the trigeminal nerves will be reduced or disappeared, just like the short circuit circuit will return to normal.

Most patients will improve or disappear immediately after surgery, and can retain normal facial sensation and function, which does not affect the quality of life.

With the development of micro -surgical technology and imaging technology, neurosurgery treatment in functional diseases such as trigeminal neuromuscular pain and facial muscle spasm is more complete.

Of course, the specific treatment plan must be determined according to the patient's situation.

(Edit Rainbow. Some pictures source networks, invading deletions)

Hunan Medical Chat Special Author: Chen Jingqi, Yiyang Central Hospital

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