Glossopharyngeal neuralgia: Surgical treatment and electron microscopic findings
Glossopharyngeal neuralgia: Surgical treatment and electron microscopic findings
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舌咽神经痛：手术治疗和电子显微镜检查结果
DOI：
10.1288/00005537-197604000-00015
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发表时间：
1976
期刊：
影响因子：
--
通讯作者：
T. Ishii
中科院分区：
文献类型：
--
作者：
T. Ishii
本文报告经咽入路切除原发性舌咽神经痛7例。其中2例显示神经痛复发，随后，其中1例复发病例通过颈部入路进行了第IX神经节段手术。切除的神经进行光镜和电镜观察。在7例中的5例中，观察到有髓纤维变性。电镜下见髓鞘排列紊乱，轴突变性较少见。作者建议经咽入路进行初次切除。在复发的情况下，随后应尝试通过颈部入路切除神经。
Seven cases of idiopathic glossopharyngeal neuralgia were treated with surgical resection via pharyngeal approach. Two of these cases showed a recurrence of neuralgia and subsequently, one of the recurring cases underwent a IXth nerve section through a cervical approach. The resected nerves were examined with the light and electron microscope. In five of seven cases, degeneration of myelinated fibers was observed. Under electron microscope, disarrangement and disorganization of the myelin sheath were found, while axonal degeneration was relatively rare. The author recommends an initial resection by the pharyngeal approach. In cases of recurrence, a subsequent attempt to resect the nerve should be made by the cervical approach.