三叉神经痛患者经皮穿刺球囊压迫术后并发咀嚼肌萎缩:1例报道

Masticatory muscle atrophy after percutaneous balloon compression for trigeminal neuralgia:a case report

本文报道1例三叉神经痛(TN)行经皮穿刺球囊压迫术(PBC)治疗的患者,术后疼痛消失。术后18个月出现治疗侧颧骨下凹陷,张口、对齿及咬合功能无明显异常。咀嚼肌萎缩是PBC较少见的并发症,三叉神经运动支神经源性损伤以及废用性肌萎缩是其主要致病原因,咀嚼肌功能锻炼及针刺、电针等物理治疗有助于促进患者咀嚼肌功能的恢复。

The patient received percutaneous balloon compression(PBC)for trigeminal neuralgia(TN)and the pain disappeared after the therapy,but the masticatory muscle atrophy appeared on the treatment side after 18 months,with no obviously abnormalities in mouth opening and occlusal function.Masticatory muscle atrophy was a rare complication after PBC,which was mainly related to neurogenic injury of the trigeminal motor branch and muscle atrophy of disuse.The exercise of masticatory muscle functional and physical therapy such as acupuncture and electroacupuncture can promote the recovery of masticatory muscle function.