Just because of a "pear", the trigeminal nerve pain disappears

Ji Mu Journalist Zheng Jingjing Li Jingyi

Correspondent Zou Yigang Chen Mengyuan

Mr. Liu, Wuhan, suffered from trigeminal neuralgia for 11 years. Each time he occurred, he was like an electric shock and knife cut. Recently, in the Department of Pain in Wuhan Fourth Hospital, the doctor placed a "pear" in his intracranial intracranial to eliminate his troubles.

Medical staff prepares surgery

The 44 -year -old Mr. Zhang first seized trigeminal neuralgia 11 years ago. "It hurts very much. The left half of the face is like a knife cut, and the wind blows." According to Mr. Zhang, he couldn't even speak or brush his teeth when he was in the pain. He could not sleep, which seriously affected his normal work and Life. At first, Mr. Zhang thought it was toothache caused by tooth inflammation. After going to the dental department, after removing two teeth, Mr. Zhang's pain did not ease, and the pain often occurred. After seeking medical treatment, Mr. Zhang was finally diagnosed with trigeminal neuralgia. In the past ten years, Mr. Zhang has controlled the condition through acupuncture and Chinese medicine, and the pain has improved. In the past six months, Mr. Zhang's condition has increased again after stopping the drug.

After receiving the hospital, the hospital's pain department learned in detail about Mr. Zhang's condition. After CT examination, the doctor found that Mr. Zhang's left trigeminal nerve was very close to blood vessels. According to Dr. Zhou Waiping, the head of the Pain Department of the Wusheng Road District of the hospital, the trigeminal nerve is the largest skull nerve with the thickest mandibular facial area and has three important branches. Trigema nerve fiber's medulla is degenerated, like the insulation "rubber" of the outer layer of the "wire" is damaged, and the electrical conductivity of the nerve has a short circuit, which causes the nerve to be abnormal impulsive and cause electrical strikes.

The image of the microspheres is exactly like "Pear"

According to Mr. Zhang's condition, the doctor formulated a surgical plan for "trigeminal nerve pain microsphere compression" for him. During the operation, under the guidance of the C -arm X -ray machine, Dr. Hua Lei used a thin needle to accurately pierce the skull base round hole outside the corner of the patient's left mouth, send the microsphere to the target position, and then slowly go to the microspheres. Inject contrast agents. As the microspheres rose slowly, the standard "pear" shape was presented under X -ray. After 3 minutes of compression, the surgeon pulled out the microspheres and puncture needles. The surgery was less than 1 hour from anesthesia to the end. After more than ten years of pain torture, Mr. Zhang finally disappeared.

It is reported that the microsphere compression treatment of the trigeminal neuralgia is also called "surgery in the needle tip". The entire wounds are only one needle -eye size, the operation time is short, and the patient is painless under the general anesthesia. The recurrence rate is low and the recovery after surgery is fast. Dr. Zhou Waiping reminded that the cause of trigeminal nerve pain was easily confused with toothache in the early stage of the disease, and many patients had experienced their teeth. Most of the trigeminal nerve pain is electric shock, knife cutting, tearing -like pain, sudden sudden, many "trigger points" or "trigger point", touching or stimulating the trigger point can induce pain attacks. Toothache is manifested as persistent dull pain or jumping pain. It is mostly limited to the gums. Cold and cold spicy foods can stimulate or aggravate toothache. Toothache can be clear through X -ray or CT examination. The trigeminal neuralgia is difficult to heal, so when the face obviously feels severe pain, you should immediately go to a regular hospital for diagnosis and treatment, and take regular treatment as soon as possible.

(Picture source: Wuhan Fourth Hospital)

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