[1]周勇智,邹元杰,刘永,等.三叉神经根入脑干区MRI形态学研究[J].临床神经外科杂志,2014,(01):29-32.
点击复制

三叉神经根入脑干区MRI形态学研究
分享到:

《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2014年01期
页码:
29-32
栏目:
论著
出版日期:
2014-02-28

文章信息/Info

Title:
Morphological characteristics of trigeminal nerve root entry zone : an MRI study
作者:
周勇智 邹元杰 刘永 刘宏毅 刘文 肖朝勇
南京脑科医院
关键词:
三叉神经痛磁共振成像形态学结构发病机制
Keywords:
trigeminal neuralgia magnetic resonance imaging morphological structure pathogenesis
分类号:
R745.1
文献标志码:
A
摘要:
目的 研究原发性三叉神经痛(TN)患者三叉神经根入脑干区(REZ)的形态结构及其临床应用价值。方法 36例TN患者和20例非TN患者作为健康对照纳入研究。所有受试对象采用3.0TMRI扫描,采用可变翻转角的三维快速自旋回波序列(3D-SPACE)分别扫描两侧REZ区的形态学结构。采取图像分析软件测量分析三叉神经脑池段长度、三叉神经脑桥角、桥小脑角池面积和三叉神经脑池段面积。结果 患侧三叉神经脑池段长度的均值、三叉神经脑桥角的均值、桥小脑角池面积的均值以及三叉神经脑池段面积的均值均小于健侧。对照组的三叉神经脑池段长度、三叉神经脑桥角、桥小脑角池面积及三叉神经脑池段面积的均值均大于疾病组。结论 三叉神经脑池段较短,三叉神经脑桥角锐利,易发生神经血管冲突,临床上易导致TN;MRI形态学信息有利于疾病的诊断及手术决策的选择。
Abstract:
Objective To evaluate the morphological structures of the trigeminal nerve root entry zone (REZ) in patients with trigeminal neuralgia(TN) and their clinical values. Methods Thirty-six patients with TN and twenty healthy controls were enrolled. All the subjects were scanned by high-resolution 3.0T MRI. 3D sampling perfection with application optimized contrasts using different flip angle evolutions (3D-SPACE) was used to measure bilaterally morphological structures of REZ. Results The mean length of the cisternal segment of the trigeminal nerve, the trigeminal-pontine angle, the cross-sectional area of the cerebellopontine angle (CPA) cistern and the cross-sectional area of the cisternal segment of the trigeminal nerve on the symptomatic side were smaller than that on the asymptomatic side. And all the above morphological parameters tended to be larger in controls than in patients. Conclusions Shorter cisternal trigeminal nerve and sharper trigeminal-pontine angle increase the chance of neurovascular conflict (NVC) , and are more likely to cause TN . The smaller area of the cisternal segment of trigeminal nerve is indicative of trigeminal nerve atrophy resulted from long-term compression. These parameters can be used for diagnostic indicators of TN and surgical decision-making.

相似文献/References:

[1]刘永亮,李建民,赵雅宁,等.磁共振成像评估丁苯酞软胶囊对创伤性脑水肿大鼠的治疗作用[J].临床神经外科杂志,2014,(01):21.
[2]胡文瀚,王新生.内镜在显微血管减压术中安全性和有效性的系统回顾[J].临床神经外科杂志,2015,(02):81.
[3]叶远良,王伟君,罗毅.影响微血管减压术治疗原发性三叉神经痛疗效相关因素分析[J].临床神经外科杂志,2015,(02):85.
[4]荣道建,杨晓健,赵俊伟.神经内镜辅助原发性三叉神经显微血管减压术[J].临床神经外科杂志,2015,(02):89.
[5]乔梁,朱宏伟,陶蔚,等.神经导航下三叉神经半月节射频热凝术中的电生理研究[J].临床神经外科杂志,2014,(02):107.
[6]黎加识,张礼鹃,毕诗诚,等.MR序列优化组合在创伤性脑损伤的诊断价值[J].临床神经外科杂志,2014,(04):248.
[7]李强,李玉,邓兴力.原发性三叉神经痛临床应用治疗进展[J].临床神经外科杂志,2014,(05):393.
[8]赵强,朱伟杰,卜博,等.超高场强磁共振在小鼠局灶性脑缺血模型中的应用分析[J].临床神经外科杂志,2014,(06):473.
[9]张施远,曾春,石海平,等.三叉神经痛微血管减压术后疗效及[J].临床神经外科杂志,2016,(02):106.
 ZHANG Shi-yuan,ZENG Chun,SHI Hai-ping,et al.Efficacy of MVD for trigeminal neuralgia and related complications[J].Journal of Clinical Neurosurgery,2016,(01):106.
[10]凌晓阳,罗正祥,张岩松,等.垂体脓肿的诊断和治疗(附2例报告及文献复习)[J].临床神经外科杂志,2016,(03):213.
 LING Xiao-yang,LUO Zheng-xiang,ZHANG Yan-song,et al.Diagnosis and management of pituitary abscess(a report of 2 cases and a review of literature)[J].Journal of Clinical Neurosurgery,2016,(01):213.

备注/Memo

备注/Memo:
[收稿日期] 2013-12-02
更新日期/Last Update: 2014-02-15