Permanent relief of tic douloureux by Gasserian injection of hot water.

Permanent relief of tic douloureux by Gasserian injection of hot water.
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通过 Gasserian 注射热水永久缓解抽搐。

DOI:
10.1001/archneurpsyc.1957.02330310011001
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发表时间:
1957
期刊:
A.M.A. archives of neurology and psychiatry
影响因子:
--
通讯作者:
R. Jaeger
R. Jaeger
中科院分区:
--
文献类型:
--
作者:
R. Jaeger

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长期以来,一种安全、有效的方法来注射加塞神经节,以永久性地停止面部抽搐和癌症的痛苦,似乎是可取的,以取代经过时间考验但通常被认为是危险的技术,使用酒精或其他破坏性化学制剂。人们曾多次尝试使用各种药物,通过全身效应来控制这种具有抽搐性神经痛特征的尖锐、刺痛和反复发作的疼痛;但是,那些有希望产生永久性缓解的药物,也有可能对大脑造成严重的永久性损伤(芪脒1,2 [4,4 ′-芪二甲脒]和三氯乙烯3-5 [CHCl-CCl 2 ])。由于抽动douloureux自发缓解的性质,它一直是非常困难的,以准确评估救济,如果有的话,所产生的许多经验性的治疗方法,已经尝试。那些接受非特异性医疗方法治疗的患者往往会变得气馁、沮丧、焦虑,对主治医生失去信心。
A safe, effective method for injecting the Gasserian ganglion to stop permanently the atrocious face pain of tic douloureux and cancer has long seemed desirable to replace the time-tested but generally considered hazardous technique employing alcohol or other destructive chemical agents. Numerous attempts to control the sharp, stabbing, recurring agonizing pain so characteristic of tic douloureux have been made by using various drugs through their systemic effect; but those that have given some promise of producing permanent relief are not without the danger of causing serious permanent damage to the brain (stilbamidine 1,2 [4,4′-stilbenedicarboxamidine] and trichlorethylene 3-5 [CHCl-CCl 2 ]). Because of the spontaneous remissive nature of tic douloureux, it has been extremely difficult to evaluate accurately the relief, if any, produced by the many empirical treatments that have been tried. Those patients treated by nonspecific medical methods too frequently become discouraged, despondent, anxious persons who lose confidence in their attending