Idiopatska trigeminalna neuralgija: petogodišnja studija

Autor: Hrvoje Brkić, Manuela Brajković, Pavel Kobler, Darko Macan
Jazyk: chorvatština
Rok vydání: 1993
Předmět:
Zdroj: Acta stomatologica Croatica : International journal of oral sciences and dental medicine
Volume 27
Issue 1
ISSN: 1846-0410
0001-7019
Popis: Neuralgija nervusa trigeminusa (NT) bolest je koja uzrokuje vrlo jake bolove u području jednog ili više ogranaka petoga moždanog živca. Među neuralgijama je najprepoznatljivija i usprkos različitoj etiologiji smatra se samostalnim entitetom. Retrospektivno smo analizirali povijesti bolesti 70 bolesnika operiranih zbog neuralgije trigeminusa u Klinici za kirurgiju lica, čeljusti i usta Medicinskog i Stomatološkog fakulteta u Zagrebu, u razdoblju od pet godina. U 65 bolesnika neuralgija je bila idiopatska, a u ostalih 5 simptomatska. Trideset devet bolesnika hospitaliziranih zbog idiopatske neuralgije imalo je bolove desne strane (p < 0,01), 24 lijeve, a obostrana neuralgija se javila u dva bolesnika. Neuralgija druge i treće grane živca zastupljena je podjednako u 31 bolesnika, a od istodobne neuralgije druge i treće grane bolovala su dva bolesnika. Svi su operirani, kombinirano konzervativno i kirurški liječeno je 54, a reoperirano je 13 bolesnika, od kojih je jedna bolesnica podvrgnuta neuroekshaerezi čak 5 puta. Bezbolno razdoblje nakon jedne neurektomije u naših bolesnika traje između 12 i 26 mjeseci.
Medical documentation of 70 patients surgically treated at the Department o f Oral and Maxillofacial Surgery in Zagreb, for trigeminal neuralgia, was retrospectively analyzed. In the majority of cases (65), neuralgia was idiopathic and in 5 cases symptomatic. Causes o f symptomatic neuralgia were: retained tooth roots (3), tumor (1) and multiple sclerosis (1). Women were by far more frequently affected by trigeminal neuralgia, mostly at the age between 61-70 years (p < 0.01). Pain lateralized to the right side was the most common (60%) (p < 0.01), The second and third branches of the trigeminal nerve were equally involved. A pain-free interval after neurectomy occurred between 12 and 26 months. Thirteen patients were reoperated on, one patient was operated on five times.
Databáze: OpenAIRE
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